=====================================================
General NPI Number Information
=====================================================
NPI Number | 1760434765
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HOSPITALIST PARTNERS LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/17/2006
-----------------------------------------------------
Last Update Date | 07/01/2009
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 800 WASHINGTON ST
-----------------------------------------------------
City | NORWOOD
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 02062-3487
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 781-769-2950
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 944 WASHINGTON ST SUITE ONE
-----------------------------------------------------
City | SOUTH EASTON
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 02375-1177
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 508-238-8646
-----------------------------------------------------
Fax | 508-230-9772
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DIRECTOR
-----------------------------------------------------
Name | DONALD F THOMPSON
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 617-562-7940
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207R00000X
-----------------------------------------------------
Taxonomy Name | Internal Medicine Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------