Organization
LCB CEDARS OF DARTMOUTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN D PULIAFICO (MANAGING PARTNER/PRESIDENT)
(781) 619-9320
Entity
Organization
Contact information
Practice address
628 OLD WESTPORT RD, DARTMOUTH, MA 02747-2398
(781) 619-9320
Mailing address
3 EDGEWATER DR, SUITE 101, NORWOOD, MA 02062-4642
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
03/12/2014
Last updated
03/12/2014
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