Healthcare Provider Details

I. General information

NPI: 1538154869
Provider Name (Legal Business Name): COMMUNITY PHYSICIANS ASSOCIATES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/13/2005
Last Update Date: 04/16/2025
Certification Date: 04/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

92 HIGHLAND ST
MILTON MA
02186-3800
US

IV. Provider business mailing address

32 S MAIN ST SUITE 100
RANDOLPH MA
02368-4835
US

V. Phone/Fax

Practice location:
  • Phone: 617-696-4600
  • Fax: 781-986-0058
Mailing address:
  • Phone: 781-986-6078
  • Fax: 781-986-0058

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: SHEILAH RANGAVIZ
Title or Position: CFO
Credential:
Phone: 617-313-1350