Organization
SPECIALTY IC MASS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUE ROTTURA (DIRECTOR)
(561) 323-8987
Entity
Organization
Contact information
Practice address
30 BRAINTREE HILL OFFICE PARK STE 103, BRAINTREE, MA 02184-8751
(212) 776-9090
(800) 540-1852
Mailing address
1047 SURF AVE STE 2, BROOKLYN, NY 11224-2810
(212) 776-9090
(800) 540-1852
Taxonomy
Speciality
Code
Description
License number
State
207QB0002X
Obesity Medicine (Family Medicine) Physician
—
—
261QI0500X
Infusion Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
01/09/2019
Last updated
02/05/2024
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