Organization
CARITAS MEDICAL GROUP INC
Active
Other names
Caritas Emergency Physicians Group GSAM
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CINDY J. MORAN CPC (DIRECTOR OF PHYSICIAN REVENUE)
(617) 562-5338
Entity
Organization
Contact information
Practice address
235 N PEARL ST, EMERGENCY PHYSICIAN GROUP, BROCKTON, MA 02301-1794
(508) 427-3034
Mailing address
736 CAMBRIDGE ST, BOSTON, MA 02135-2907
(617) 789-3212
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000030534
BMC
—
01
—
M19082
BLUE SHIELD
—
Enumeration date
06/05/2006
Last updated
12/06/2008
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