Healthcare Provider Details
I. General information
NPI: 1053862045
Provider Name (Legal Business Name): ATRIUS HEALTH, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/14/2016
Last Update Date: 06/20/2022
Certification Date: 06/20/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
100 2ND AVE ATRIUS HEALTH - NEEDHAM
NEEDHAM MA
02494-2809
US
IV. Provider business mailing address
275 GROVE ST SUITE 3-300
AUBURNDALE MA
02466-2272
US
V. Phone/Fax
- Phone: 781-263-5100
- Fax:
- Phone: 617-559-8374
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | |
| License Number State | MA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2084N0400X |
| Taxonomy | Neurology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
STEVE
STRONGWATER
Title or Position: PRESIDENT
Credential:
Phone: 617-559-8042