Organization · Type 2 NPI

Good Samaritan Medical Practice Corp

Specialist · Brockton, MA

NPI number 1285625137 Active

Practice location

235 N Pearl St, Good Samaritan Medical Center
Brockton, MA 02301-1794

Call (617) 562-5482 Map

Fax (617) 562-5415

Mailing address

77 Warren St, Provider Enrollment
Brighton, MA 02135-3601

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1285625137

Good Samaritan Medical Practice Corp's National Provider Identifier is 1285625137, issued on Oct 31, 2005. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Brockton, MA. The record was last updated on Aug 22, 2020.