Healthcare Provider Details
I. General information
NPI: 1770576282
Provider Name (Legal Business Name): HOOD NADEAU LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/30/2005
Last Update Date: 03/27/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
793 MAIN RD
WESTPORT MA
02790-4358
US
IV. Provider business mailing address
PO BOX 3750
WESTPORT MA
02790-0746
US
V. Phone/Fax
- Phone: 508-636-7890
- Fax: 508-636-7299
- Phone: 508-636-7890
- Fax: 508-636-7299
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
CATHLEEN
SLOAN
HOOD
Title or Position: PHYSICIAN/MEDICAL DIRECTOR
Credential: M.D.
Phone: 508-636-7890