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Organization

CARITAS GOOD SAMARITAN MEDICAL CENTER-CARDIAC FITNESS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PAUL BURNS (EXECUTIVE DIRECTOR)
(508) 427-2217
Entity
Organization

Contact information

Practice address
455 CENTRAL STREET, STOUGHTON, MA 02072
(508) 427-3668
Mailing address
77 WARREN STREET, PROVIDER ENROLLMENT DEPT, BROGHTON, MA 02131
(617) 562-5359
(617) 562-5415

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1210009
MA
Enumeration date
10/05/2006
Last updated
08/22/2020
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