Provider Demographics
NPI:1568278661
Name:WESTWOOD IV THERAPY PC
Entity type:Organization
Organization Name:WESTWOOD IV THERAPY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KRISTEN
Authorized Official - Middle Name:
Authorized Official - Last Name:DOOHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-613-5005
Mailing Address - Street 1:697 HIGH ST UNIT 243
Mailing Address - Street 2:
Mailing Address - City:WESTWOOD
Mailing Address - State:MA
Mailing Address - Zip Code:02090-2545
Mailing Address - Country:US
Mailing Address - Phone:781-613-5005
Mailing Address - Fax:
Practice Address - Street 1:124 COBLEIGH ST
Practice Address - Street 2:
Practice Address - City:WESTWOOD
Practice Address - State:MA
Practice Address - Zip Code:02090-1204
Practice Address - Country:US
Practice Address - Phone:781-613-5005
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-04
Last Update Date:2024-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WI0500XNursing Service ProvidersRegistered NurseInfusion TherapyGroup - Multi-Specialty