OPTIMAL PROFESSIONAL HEALTH SERVICES PC


Address: 1418 Providence Hwy, Suite N, Norwood, MA 02062-4655
Phone: 6179641440

OPTIMAL PROFESSIONAL HEALTH SERVICES PC (NPI# 1881059665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1881059665
Entity Type Organization
Organization Name OPTIMAL PROFESSIONAL HEALTH SERVICES PC
Practice Address 1418 Providence Hwy
Suite N
Norwood
MA 02062-4655
Mailing Address 944 Washington St
Suite One
South Easton
MA 02375-1177
Practice Telephone 6179641440
Practice Fax Number 6179647833
Mailing Telephone 5082388646
Mailing Fax Number 5082309772
Enumeration Date 2015-12-22
Last Update Date 2016-05-11
Authorized Official Name JOSEPH A RUSSO (OWNER)
Authorized Official Telephone 6173641440
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MA 110109264A 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1285082701 Optimal Professional Health Services PC Occupational Therapist 1418 Providence Hwy, Suite N, Norwood, MA 02062-4655 2016-05-25

Office Location

Street Address 1418 PROVIDENCE HWY
SUITE N
City NORWOOD
State MA
Zip Code 02062-4655

Providers in the same location

NPI Name Taxonomy Address Enumeration
1285082701 Optimal Professional Health Services PC Occupational Therapist 1418 Providence Hwy, Suite N, Norwood, MA 02062-4655 2016-05-25

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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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Competitor

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City NORWOOD
Zip Code 02062

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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