Provider Demographics
NPI:1154462083
Name:HMR MANAGEMENT CORPORATION
Entity Type:Organization
Organization Name:HMR MANAGEMENT CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:TP
Authorized Official - Last Name:STIFLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-357-9876
Mailing Address - Street 1:130 RUMFORD AVE
Mailing Address - Street 2:STE 107
Mailing Address - City:AUBURNDALE
Mailing Address - State:MA
Mailing Address - Zip Code:02466-1365
Mailing Address - Country:US
Mailing Address - Phone:617-965-1273
Mailing Address - Fax:617-964-1521
Practice Address - Street 1:130 RUMFORD AVE
Practice Address - Street 2:SUITE 107
Practice Address - City:AUBURNDALE
Practice Address - State:MA
Practice Address - Zip Code:02466-1365
Practice Address - Country:US
Practice Address - Phone:617-965-1273
Practice Address - Fax:617-964-1521
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-12
Last Update Date:2015-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAY10394Medicare PIN