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General NPI Number Information
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NPI Number | 1598756132
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Entity Type | Organization
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Legal Business Name | HEART CENTER OF METROWEST INC
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Dates
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Enumeration Date | 11/02/2005
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Last Update Date | 04/08/2015
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Provider Practice Location Address
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Address Line | 99 LINCOLN ST 2ND FLOOR
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City | FRAMINGHAM
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State | MA
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Zip | 01702-6327
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Country | US
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Telephone | 508-875-4811
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Fax | 508-875-5942
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Provider Business Mailing Address
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Address Line | 99 LINCOLN ST 2ND FLOOR
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City | FRAMINGHAM
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State | MA
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Zip | 01702-6327
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Country | US
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Telephone | 508-875-4811
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Fax | 508-875-5942
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Authorized Official
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Title or Position | BOARD MEMBER
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Name | HOWARD A SUSSMAN
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Credential | MD
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Telephone | 508-875-4811
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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