| Professional Profiles | |
|
1860 Santuit Newtown Rd Cotuit MA 02635-2509 | |
| (508) 548-8989 | |
| (508) 548-5789 |
| Full Name | Professional Profiles |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 1860 Santuit Newtown Rd, Cotuit, Massachusetts |
| Authorized Official Name and Position | Gerald P Elovitz (GENERAL PARTNER) |
| Authorized Official Contact | 5085488989 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Profiles 1860 Santuit Newtown Rd Cotuit MA 02635-2509 Ph: (508) 548-8989 | Professional Profiles 1860 Santuit Newtown Rd Cotuit MA 02635-2509 Ph: (508) 548-8989 |
| NPI Number | 1235434804 |
|---|---|
| Provider Enumeration Date | 01/12/2011 |
| Last Update Date | 01/12/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235434804 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Primary |
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