Organization
CARITAS PHYSICIAN NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL J HESKETH MD (CHIEF, HEMATOLOGY-ONCOLOGY)
(617) 789-2317
Entity
Organization
Contact information
Practice address
77 WARREN ST, CARITAS PHYSICIAN NETWORK, BRIGHTON, MA 02135-3601
(617) 789-2317
(617) 562-5488
Mailing address
77 WARREN ST, CARITAS PHYSICIA NETWORK, BRIGHTON, MA 02135-3601
(617) 562-5488
Taxonomy
Speciality
Code
Description
License number
State
261QX0200X
Oncology Clinic/Center
Primary
98556
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0324141
—
MA
01
—
NP2436
BC/BS
MA
Enumeration date
08/21/2007
Last updated
08/21/2007
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