# COHASSET HARBOR ADULT MEDICINE PRACTICE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508200908
- **Authorized official:** ROGER POMPEO MD (MANAGER)
- **Authorized official phone:** (781) 383-9422

## Contact information

- **Practice address:** 20 PARKINGWAY, COHASSET, MA 02025-1700
- **Practice address phone:** (781) 383-9422
- **Practice address fax:** (781) 383-8024
- **Mailing address:** 20 PARKINGWAY, COHASSET, MA 02025-1700
- **Mailing address phone:** (781) 383-9422
- **Mailing address fax:** (781) 383-8024

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | 30135 | MA | Yes |

## Other

- **Enumeration date:** 04/29/2013
- **Last updated:** 04/29/2013