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Organization
SIGNATURE HEALTHCARE MEDICAL GROUP INC
Active
Organization
SIGNATURE HEALTHCARE MEDICAL GROUP INC
Active
Other names
Signature Medical Group, Signature Medical
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA MARIE COLBY (DIRECTOR, MEDICAL STAFF SERVICES)
(508) 941-0958
Entity
Organization
Contact information
Practice address
110 LIBERTY ST, BROCKTON, MA 02301-5674
(508) 894-0400
Mailing address
680 CENTRE ST, BROCKTON, MA 02302-3308
(508) 894-0400
(508) 941-0893
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
207R00000X
Internal Medicine Physician
Primary
240642
MA
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207RN0300X
Nephrology Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
208000000X
Pediatrics Physician
—
—
2084P0800X
Psychiatry Physician
—
—
208600000X
Surgery Physician
—
—
208800000X
Urology Physician
—
—
208M00000X
Hospitalist Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110072349A
—
MA
01
—
M16402
BCBS GROUP #
MA
Enumeration date
06/04/2006
Last updated
08/05/2026
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