Provider Demographics
NPI:1194999300
Name:EASTERN PULMONARY SERVICES, INC.
Entity type:Organization
Organization Name:EASTERN PULMONARY SERVICES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:PETER
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:FALKSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:857-400-0044
Mailing Address - Street 1:277 SOUTH ST STE 1
Mailing Address - Street 2:
Mailing Address - City:WALPOLE
Mailing Address - State:MA
Mailing Address - Zip Code:02081-2731
Mailing Address - Country:US
Mailing Address - Phone:578-400-0044
Mailing Address - Fax:662-035-4598
Practice Address - Street 1:73 PICKERING RD STE 202
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03839-4640
Practice Address - Country:US
Practice Address - Phone:857-400-0044
Practice Address - Fax:866-203-5459
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-17
Last Update Date:2025-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA6119470002Medicare NSC