GOOD SAMARITAN MEDICAL PRACTICE CORP

BROCKTON, MA
NPI1285625137
Entity TypeOrganization
Authorized ContactJOHN J HOLIVER
Director
617-562-5482
Organization Subpart ?No
Primary Taxonomy174400000X Specialist
Enumeration Date2005-10-31
Last Update Date2020-08-22
Business Address
GOOD SAMARITAN MEDICAL PRACTICE CORP
235 N PEARL ST GOOD SAMARITAN MEDICAL CENTER
BROCKTON, MA 02301-1794
Phone number: 617-562-5482
Mailing Address
GOOD SAMARITAN MEDICAL PRACTICE CORP
77 WARREN ST PROVIDER ENROLLMENT
BRIGHTON, MA 02135-3601
Phone number: 617-562-5482
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