Good Samaritan Medical Practice Corp

NPI #1285625137 in Brockton, Massachusetts

Provider Information

NPI Number: 1285625137
Entity Type: Organization
Organization Name: Good Samaritan Medical Practice Corp
Primary Specialty: Specialist
Enumeration Date: Oct 31, 2005
Last Updated: Aug 22, 2020

Practice Location

Address: 235 N PEARL ST
Address 2: GOOD SAMARITAN MEDICAL CENTER
City: Brockton
State: Massachusetts
ZIP Code: 02301-1794
Phone: (617) 562-5482

Authorized Official

Name: MR. JOHN J HOLIVER
Title: DIRECTOR
Phone: (617) 562-5482

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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