Ultracare, P.c.

NPI #1992125215 in Brockton, Massachusetts

Provider Information

NPI Number: 1992125215
Entity Type: Organization
Organization Name: Ultracare, P.c.
Primary Specialty: Physician Assistant
Enumeration Date: Apr 25, 2014
Last Updated: Jan 26, 2016

Practice Location

Address: 157 MAIN ST
City: Brockton
State: Massachusetts
ZIP Code: 02301-4012
Phone: (508) 510-4221

Authorized Official

Name: SHANNON PACHECO
Title: BILLING/CREDENTIALING
Phone: (508) 675-2840

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X
Specialist	174400000X
Physical Therapist	225100000X
Physician Assistant	363A00000X	Primary

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