1376667097 NPI number — PARE ELOVITZ AND ASSOCIATES

Table of content: (NPI 1376667097)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1376667097 NPI number — PARE ELOVITZ AND ASSOCIATES

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PARE ELOVITZ AND ASSOCIATES
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
PARE AND ASSOCIATES
Provider Other Organization Name Type Code:
5
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1376667097
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/20/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 940
Provider Second Line Business Mailing Address:
572 MAIN STREET PARE AND ASSOCIATES
Provider Business Mailing Address City Name:
WEST YARMOUTH
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
02673
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
508-775-0719
Provider Business Mailing Address Fax Number:
508-775-5309

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
572 MAIN STREET
Provider Second Line Business Practice Location Address:
PARE AND ASSOCIATES
Provider Business Practice Location Address City Name:
WEST YARMOUTH
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02673
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
508-775-0719
Provider Business Practice Location Address Fax Number:
508-775-5309
Provider Enumeration Date:
03/19/2007

Additional Information

Authorized Official

Authorized Official Last Name:
PARE
Authorized Official First Name:
JOSEPH
Authorized Official Middle Name:
A
Authorized Official Title or Position:
OWNER PARE AND ASSOCIATES
Authorized Official Telephone Number:
508-775-0719

Provider Taxonomy Codes

  • Taxonomy code: 251S00000X , with the licence number:  101803 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1154432342 . This is a "INDIVIDUAL NPI #" identifier . This identifiers is of the category "OTHER".




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