MEDICARE: GYNECOLOGY PARTNERS P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207VG0400X	Gynecology Physician

General Provider Information

NPI Number	:	1447451133
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GYNECOLOGY PARTNERS P.C.

Provider Business Mailing Address
First Line	:	45 COLPITTS RD
Second Line	:
City	:	WESTON
State	:	MA
Zip	:	02493-1546
Country	:	US
Telephone Number	:	781-899-7778
Fax Number	:	781-899-0475

Provider Business Practice Location Address
First Line	:	45 COLPITTS RD
Second Line	:
City	:	WESTON
State	:	MA
Zip	:	02493-1546
Country	:	US
Telephone Number	:	781-899-7778
Fax Number	:	781-899-0475

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	MS. LOUISE L FLAHERTY
Credential	:
Telephone Number	:	781-899-7778

Provider Enumeration Date	:	05/30/2007
Last Update Date	:	08/22/2020

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