Organization
ISLAND COUNSELING CENTER, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMAD RACHID OCH M.D. (CEO)
(508) 754-1803
Entity
Organization
Contact information
Practice address
57 PROSPECT ST, NANTUCKET, MA 02554-2799
(508) 825-8270
Mailing address
22 GREENLEAF FARMS CIR, SHREWSBURY, MA 01545-5000
(508) 754-1803
(508) 792-9713
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3017052
—
MA
Enumeration date
10/07/2008
Last updated
02/09/2012
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