NPI Code Details Logo

NPI 1508897695

NPI 1508897695 : PARTNERS OF MASSACHUSETTS, LLC : MARLBOROUGH, MA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1508897695
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    PARTNERS OF MASSACHUSETTS, LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    07/06/2006
-----------------------------------------------------
    Last Update Date     |    09/06/2023
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    181 CEDAR HILL ST 
-----------------------------------------------------
    City                 |    MARLBOROUGH
-----------------------------------------------------
    State                |    MA
-----------------------------------------------------
    Zip                  |    01752-3035
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    508-624-8880
-----------------------------------------------------
    Fax                  |    508-624-8890
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    181 CEDAR HILL ST SUITE 1
-----------------------------------------------------
    City                 |    MARLBOROUGH
-----------------------------------------------------
    State                |    MA
-----------------------------------------------------
    Zip                  |    01752-3035
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    508-624-8880
-----------------------------------------------------
    Fax                  |    508-624-8890
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    COO
-----------------------------------------------------
    Name                 |     JAMES  MATTHEWS 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    609-206-2664
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    3336L0003X
-----------------------------------------------------
    Taxonomy Name        |    Long Term Care Pharmacy
-----------------------------------------------------
    License Number       |    3419
-----------------------------------------------------
    License Number State |    MA
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.