BROCKTON HOSPITAL SPECIALTY PHYSICIAN GROUP

BROCKTON, MA
NPI1174560304
Doing Business AsSIGNATURE HEALTHCARE BROCKTON HOSPITAL
Entity TypeOrganization
Authorized ContactEUGENE C. WALLACE
CEO
508-941-7062
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
Additional Taxonomies207P00000X Emergency Medicine
208M00000X Hospitalist
207V00000X Obstetrics & Gynecology
207LP2900X Anesthesiology, Pain Medicine
2084P0800X Psychiatry & Neurology, Psychiatry
208000000X Pediatrics
208600000X Surgery
207RC0000X Internal Medicine, Cardiovascular Disease
207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism
207RP1001X Internal Medicine, Pulmonary Disease
207RR0500X Internal Medicine, Rheumatology
1041C0700X Social Worker, Clinical
207RG0100X Internal Medicine, Gastroenterology
207X00000X Orthopaedic Surgery
Enumeration Date2006-05-31
Last Update Date2009-12-22
Business Address
BROCKTON HOSPITAL SPECIALTY PHYSICIAN GROUP
680 CENTRE ST
BROCKTON, MA 02302-3308
Phone number: 508-941-7062
Mailing Address
BROCKTON HOSPITAL SPECIALTY PHYSICIAN GROUP
PO BOX 847493
BOSTON, MA 02284-7493
Phone number: 508-565-0147