| Longevity Group Llc | |
|
76 N Bedford St Unit A-4 East Bridgewater MA 02333-1182 | |
| (598) 484-3251 | |
| Not Available |
| Full Name | Longevity Group Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 76 N Bedford St Unit A-4, East Bridgewater, Massachusetts |
| Authorized Official Name and Position | Anita Bodrogne Szabo (OWNER) |
| Authorized Official Contact | 5084843251 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Longevity Group Llc 57 Miranda Way Bridgewater MA 02324-1481 Ph: (508) 697-6385 | Longevity Group Llc 76 N Bedford St Unit A-4 East Bridgewater MA 02333-1182 Ph: (598) 484-3251 |
| NPI Number | 1124535729 |
|---|---|
| Provider Enumeration Date | 01/04/2018 |
| Last Update Date | 06/16/2018 |
| Medicare PECOS PAC ID | 7113289562 |
|---|---|
| Medicare Enrollment ID | O20180322001403 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124535729 | NPI | - | NPPES |
| Provider Name | Gyorgy Bodrog |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144425422 PECOS PAC ID: 0749378677 Enrollment ID: I20071110000058 |
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