| Digestive Disease Associates Pc | |
|
47 Obery St Ste 201 Plymouth MA 02360-2230 | |
| (508) 747-1560 | |
| (508) 747-5155 |
| Full Name | Digestive Disease Associates Pc |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 47 Obery St, Plymouth, Massachusetts |
| Authorized Official Name and Position | Jonathan M Russo (PRESIDENT) |
| Authorized Official Contact | 5087471560 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Digestive Disease Associates Pc 47 Obery St Ste 201 Plymouth MA 02360 Ph: (508) 747-1560 | Digestive Disease Associates Pc 47 Obery St Ste 201 Plymouth MA 02360-2230 Ph: (508) 747-1560 |
| NPI Number | 1174700421 |
|---|---|
| Provider Enumeration Date | 01/29/2008 |
| Last Update Date | 11/15/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174700421 | NPI | - | NPPES |
| 3020835 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
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