Provider Demographics
NPI:1154372142
Name:ASSOCIATES IN NEPHROLOGY, PC
Entity type:Organization
Organization Name:ASSOCIATES IN NEPHROLOGY, PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:SILVA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-587-0700
Mailing Address - Street 1:76 CAMPENELLI INDUSTRIAL DR
Mailing Address - Street 2:
Mailing Address - City:BROCKTON
Mailing Address - State:MA
Mailing Address - Zip Code:02301-0000
Mailing Address - Country:US
Mailing Address - Phone:508-587-0700
Mailing Address - Fax:508-587-0287
Practice Address - Street 1:76 CAMPENELLI INDUSTRIAL DR
Practice Address - Street 2:
Practice Address - City:BROCKTON
Practice Address - State:MA
Practice Address - Zip Code:02301-0000
Practice Address - Country:US
Practice Address - Phone:508-587-0700
Practice Address - Fax:508-587-0287
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-13
Last Update Date:2019-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA000000005590OtherHEALTH NETPLAN
MA9744118Medicaid
MA600658OtherHARVARD PILGRIM
MAM14115OtherBLUECROSS/BLUESHIELD
MA110070227AMedicaid
MA600317OtherTUFTS
MACM6110OtherRAILROAD MEDICARE
MA110070227AMedicaid