NPI 1619066917

Brockton Neighborhood H. C.

Organisation Preferred Provider Organization Brockton, MA

Practice location

Address: 231 Main St 302, Brockton, MA 02301-4342
Phone: (508) 559-1567
Fax: (508) 559-5073
Mailing address: 231 Main St 200, Brockton, MA 02301-4342

Authorised official

Name: Julius N. Coles
Title: Dentisry
Phone: (508) 584-2708

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 1210420 (MA)

Other Preferred Provider Organization providers in Massachusetts →

Registry record

NPI: 1619066917
Entity type: Organization
NPI issued: 12 Oct 2006
Record last updated: 22 Aug 2020

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.