NPI 1104077544
VA Medical Center Brockton Ma
Practice location
- Address
- 25 Belmont CT APT 8, Brockton, MA 02301-4730
- Phone
- (774) 826-2456
Authorised official
- Name
- Mark Bauer
- Title
- Program Director
- Phone
- (774) 826-2456
Registered specialties
Psychiatric Hospital
Primary
Registry record
- NPI
- 1104077544
- Entity type
- Organization
- NPI issued
- 3 Oct 2008
- Record last updated
- 3 Oct 2008
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.