Healthcare Provider Details
I. General information
NPI: 1710976873
Provider Name (Legal Business Name): NEXIS HEALTHCARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/20/2005
Last Update Date: 04/29/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
88 WASHINGTON ST MORTON HOSPITAL & MEDICAL CENTER
TAUNTON MA
02780-2465
US
IV. Provider business mailing address
PO BOX 27
MANVILLE RI
02838-0027
US
V. Phone/Fax
- Phone: 508-821-9989
- Fax:
- Phone: 800-927-0002
- Fax: 603-890-1236
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208M00000X |
| Taxonomy | Hospitalist Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
MUHAND
EL-TWAL
Title or Position: PRESIDENT
Credential: M.D.
Phone: 508-821-9989