Organization
SOUTHWESTERN GASTROENTEROLOGICAL ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH L PERROTTO JR. MD (PRESIDENT)
(781) 769-4682
Entity
Organization
Contact information
Practice address
886 WASHINGTON ST, NORWOOD, MA 02062-3466
(781) 769-4682
(781) 769-9272
Mailing address
886 WASHINGTON ST, NORWOOD, MA 02062-3466
(781) 769-4682
(781) 769-9272
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110068196A
—
MA
01
—
600364
TUFTS HEALTH PLAN
MA
01
—
CE3077
RAIL ROAD MEDICARE
MA
01
—
M12498
BC/BS
MA
Enumeration date
08/31/2006
Last updated
03/19/2010
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