Organization
GOODHEART MEDICAL TRANSPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALEXANDER JEAN-MICHEL (CEO)
(781) 408-1503
Entity
Organization
Contact information
Practice address
162 MARJORIE RD, STOUGHTON, MA 02072-4017
(781) 408-1503
Mailing address
162 MARJORIE RD, STOUGHTON, MA 02072-4017
(781) 408-1503
Taxonomy
Speciality
Code
Description
License number
State
3336M0002X
Mail Order Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
99999
—
MA
Enumeration date
10/31/2022
Last updated
10/31/2022
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