Lcb Cedars of Dartmouth
NPI #1104242353 in Dartmouth, Massachusetts
Provider Information
- NPI Number
- 1104242353
- Entity Type
- Organization
- Organization Name
- Lcb Cedars of Dartmouth
- Primary Specialty
- Health Maintenance Organization
- Enumeration Date
- Mar 12, 2014
- Last Updated
- Mar 12, 2014
Practice Location
- Address
- 628 OLD WESTPORT RD
- City
- Dartmouth
- State
- Massachusetts
- ZIP Code
- 02747-2398
- Phone
- (781) 619-9320
Authorized Official
- Name
- MR. STEPHEN D PULIAFICO
- Title
- MANAGING PARTNER/PRESIDENT
- Phone
- (781) 619-9320
Specialties & Taxonomy Codes
| Specialty |
|---|
| Health Maintenance Organization |
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