| Southboro Medical Group, Inc. | |
|
24 Newton St Southborough MA 01772-1215 | |
| (508) 481-5500 | |
| (508) 460-3025 |
| Full Name | Southboro Medical Group, Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 24 Newton St, Southborough, Massachusetts |
| Authorized Official Name and Position | Marvin Ostrovsky (PRESIDENT) |
| Authorized Official Contact | 5084815500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southboro Medical Group, Inc. 24 Newton St Southborough MA 01772-1215 Ph: (508) 481-5500 | Southboro Medical Group, Inc. 24 Newton St Southborough MA 01772-1215 Ph: (508) 481-5500 |
| NPI Number | 1518032630 |
|---|---|
| Provider Enumeration Date | 11/22/2006 |
| Last Update Date | 09/11/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518032630 | NPI | - | NPPES |
| 669105 | Other | MA | TUFTS BEHAVIORAL HEALTH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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