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NPI Code Detail

MEDICARE: CLIFTON GERIATRIC CENTER

MEDICARE: CLIFTON GERIATRIC CENTER
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
1225X00000XOccupational Therapist

General Provider Information

NPI Number : 1538297825
Entity Type Code : Organization
Provider Name (Legal Business Name) : CLIFTON GERIATRIC CENTER
Provider Business Mailing Address
First Line : 500 WILBUR AVE
Second Line :
City : SOMERSET
State : MA
Zip : 02725-2051
Country : US
Telephone Number : 508-675-7589
Fax Number : 508-672-7422
Provider Business Practice Location Address
First Line : 500 WILBUR AVE
Second Line :
City : SOMERSET
State : MA
Zip : 02725-2051
Country : US
Telephone Number : 508-675-7589
Fax Number : 508-672-7422
Authorized Official
Title or Position : DIRECTOR OF REHABILITATION
Name : MR. TIMOTHY S PEDERSEN
Credential : MS, PT
Telephone Number : 508-675-7589
Provider Enumeration Date : 03/01/2007
Last Update Date : 08/22/2020

Similar Medicare Providers

1992793509 — CLIFTON GERIATRIC CENTER
Practice Location Address:
500 WILBUR AVE
SOMERSET, MA
02725-2051
Practice Phone: 508-675-7589
Practice Fax: 508-672-7422
1730250952 — MS. LORI A FRECHETTE PT
Practice Location Address:
500 WILBUR AVE
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1568538767 — MRS. DIANE JOAN CORDEIRO PT
Practice Location Address:
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1083742373 — CLIFTON GERIATRIC CENTER
Practice Location Address:
500 WILBUR AVE
SOMERSET, MA
02725-2051
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Practice Fax: 508-672-7422
1750562997 — MR. MARK GALLUZZO OTR/L
Practice Location Address:
500 WILBUR AVE
SOMERSET, MA
02725-2051
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Practice Fax: 508-672-7422
1396917803 — MRS. NICOLE GERMAINE KENYON OTR/L
Practice Location Address:
500 WILBUR AVE
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02725-2051
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Practice Fax:

Directions to “CLIFTON GERIATRIC CENTER ” Practice Location

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