Healthcare Provider Details

I. General information

NPI: 1508119546
Provider Name (Legal Business Name): DATASAFE SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/15/2012
Last Update Date: 10/15/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

124 TURNPIKE ST STE 8
WEST BRIDGEWATER MA
02379-1046
US

IV. Provider business mailing address

124 TURNPIKE ST STE 8
WEST BRIDGEWATER MA
02379-1046
US

V. Phone/Fax

Practice location:
  • Phone: 508-587-0900
  • Fax:
Mailing address:
  • Phone: 508-587-0900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0206X
TaxonomyMammography Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QR0207X
TaxonomyMobile Mammography Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: RICHARD CAREY
Title or Position: PRESIDENT
Credential:
Phone: 508-587-0900