Prusty Endocrine Associates

LBN: Prusty Endocrine Associates
Prusty Endocrine Associates is an health care organization with primary practice located at 571 Main St Second Floor, South Weymouth MA 02190-1843. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Prusty Endocrine Associates can be contacted via phone (617) 335-9363, or through Prusty, Deepanwita via phone (617) 335-9363.

Contact Information

Primary practice address
571 Main St Second Floor South Weymouth MA 02190-1843
Phone: (617) 335-9363
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Prusty, Deepanwita Doctor of Medicine (MD)
Phone: (617) 335-9363

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 228973 Massachusetts

Profile Details

NPI number 1982076535
LBN Legal business name Prusty Endocrine Associates
DBA Doing business as
Authorized official Prusty, Deepanwita Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 22nd, 2015
Last updated Oct 22nd, 2015 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982076535 NPPES
Massachusetts MEDICAID 11078614A

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