Organization
PERPETUAL HEALTH CLINIC, INC.
Active
Parent organization
PERPETUAL HEALTH CLINIC, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
PERPETUAL HEALTH CLINIC, INC.
Authorized official
DR. DANILO TOLENTINO FUNA M.D. (PRESIDENT / CEO)
(978) 249-9736
Entity
Organization
Contact information
Practice address
1467 MAIN ST, SUITE 2, ATHOL, MA 01331-2652
(978) 249-9736
(978) 249-3922
Mailing address
1467 MAIN ST, SUITE 2, ATHOL, MA 01331-2652
(978) 249-9736
(978) 249-3922
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080233
TUFTS
MA
01
—
1197895
AETNA
MA
01
—
24262
FALLON
MA
05
—
3132929
—
MA
01
—
97195701
NETWORK HEALTH
MA
01
—
AA50132
HARVARD
MA
01
—
M19127
BLUECROSSBLUESHIELDS
MA
01
—
W10097102
CIGNA
MA
Enumeration date
05/22/2006
Last updated
10/31/2011
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