Healthcare Provider Details

I. General information

NPI: 1508897695
Provider Name (Legal Business Name): PARTNERS OF MASSACHUSETTS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2006
Last Update Date: 09/06/2023
Certification Date: 09/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

181 CEDAR HILL ST
MARLBOROUGH MA
01752-3035
US

IV. Provider business mailing address

181 CEDAR HILL ST SUITE 1
MARLBOROUGH MA
01752-3035
US

V. Phone/Fax

Practice location:
  • Phone: 508-624-8880
  • Fax: 508-624-8890
Mailing address:
  • Phone: 508-624-8880
  • Fax: 508-624-8890

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number3419
License Number StateMA

VIII. Authorized Official

Name: JAMES MATTHEWS
Title or Position: COO
Credential:
Phone: 609-206-2664