Organization
ENT SPECIALISTS, INC
Active
Other names
FYZICAL Dizziness & Fall Prevention Centers
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL S SHU (PRINCIPAL PHYSICIAN)
(508) 588-8034
Entity
Organization
Contact information
Practice address
188 WASHINGTON ST STE 3, PLAINVILLE, MA 02762-1320
(508) 588-8034
(508) 558-5969
Mailing address
35 PEARL ST STE 100, BROCKTON, MA 02301-2866
(781) 769-8910
(781) 255-9844
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
09/07/2019
Last updated
09/10/2019
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