Healthcare Provider Details

I. General information

NPI: 1265147300
Provider Name (Legal Business Name): FRANCIS MAURICE HOEY JR. LADCII
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/23/2023
Last Update Date: 01/23/2023
Certification Date: 01/23/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1120 HANCOCK ST
QUINCY MA
02169-4313
US

IV. Provider business mailing address

132 WESTCHESTER RD
JAMAICA PLAIN MA
02130-3453
US

V. Phone/Fax

Practice location:
  • Phone: 617-471-8400
  • Fax:
Mailing address:
  • Phone: 617-645-5940
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number18700
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: