Organization
EMERSON PRACTICE ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT T KOSOWICZ (SR. DIRECTOR FINANCE)
(978) 287-7496
Entity
Organization
Contact information
Practice address
133 OLD ROAD TO NINE ACRE CORNER, CONCORD, MA 01742-4159
(978) 287-3022
Mailing address
PO BOX 411581, BOSTON, MA 02241-2503
(978) 287-3000
(978) 287-3022
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
MA
208000000X
Pediatrics Physician
—
MA
2084N0400X
Neurology Physician
—
MA
208M00000X
Hospitalist Physician
—
MA
261QP2000X
Physical Therapy Clinic/Center
—
MA
363L00000X
Nurse Practitioner
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M15300
BCBS MA
MA
05
—
PENDING
—
MA
Enumeration date
07/14/2008
Last updated
04/11/2024
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