Healthcare Provider Details

I. General information

NPI: 1447238852
Provider Name (Legal Business Name): CATHLEEN SLOAN HOOD M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/05/2006
Last Update Date: 11/02/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

793 MAIN RD
WESTPORT MA
02790-4358
US

IV. Provider business mailing address

793 MAIN RD
WESTPORT MA
02790-4358
US

V. Phone/Fax

Practice location:
  • Phone: 508-636-7890
  • Fax: 508-636-7299
Mailing address:
  • Phone: 508-636-7890
  • Fax: 508-636-7299

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number76789
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number76789
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: