NPI 1336539865

Phocarlux; INC.

Organisation Private Vehicle Brockton, MA

Practice location

Address: 385 Pleasant St, Brockton, MA 02301-3237
Phone: (508) 718-8785

Authorised official

Name: Jean Harmel Jerome
Title: Director
Phone: (508) 718-8785

Registered specialties

Private Vehicle Primary

Transportation Services Taxonomy 347C00000X Licence LV62992 (MA)

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Registry record

NPI: 1336539865
Entity type: Organization
NPI issued: 4 Feb 2015
Record last updated: 4 Feb 2015

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.