Correa, Jose M

Correa, Jose M is an individual health care provider with primary practice located at 112 Main St Ste 101, Northboro MA 01532-1914. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Correa, Jose M can be contacted via phone (508) 393-7807.

Contact Information

Primary practice address
112 Main St Ste 101 Northboro MA 01532-1914
Phone: (508) 393-7807
Fax: (508) 393-8608
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 73052 Massachusetts

Profile Details

NPI number 1518973601
LBN Legal business name Correa, Jose M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2006
Last updated Feb 10th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1518973601 NPPES
Massachusetts MEDICAID 3070425

Popular Providers