Southcoast Primary Care INC

NPI #1891783189 in Mattapoisett, Massachusetts

Provider Information

NPI Number: 1891783189
Entity Type: Organization
Organization Name: Southcoast Primary Care INC
Primary Specialty: Family Medicine
Enumeration Date: Oct 11, 2005
Last Updated: Mar 5, 2008

Practice Location

Address: 109 FAIRHAVEN ROAD
Address 2: SOUTHCOAST PRIMARY CARE INC
City: Mattapoisett
State: Massachusetts
ZIP Code: 02739
Phone: (508) 758-3781

Authorized Official

Name: MARY HODGSON
Title: EXECUTIVE DIRECTOR
Phone: (508) 985-2011

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X
Pediatrics	208000000X
Family Medicine	207Q00000X	Primary

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