Provider Demographics
NPI:1194181719
Name:CENTMASS ASSOCIATION OF PHYSICIANS, INC.
Entity Type:Organization
Organization Name:CENTMASS ASSOCIATION OF PHYSICIANS, INC.
Other - Org Name:CAP.
Other - Org Type:Other Name
Authorized Official - Title/Position:CHEIF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:D
Authorized Official - Last Name:SCHROEZLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-751-8966
Mailing Address - Street 1:48 NELSON STREET
Mailing Address - Street 2:
Mailing Address - City:LEOMINSTER
Mailing Address - State:MA
Mailing Address - Zip Code:01453
Mailing Address - Country:US
Mailing Address - Phone:975-227-5386
Mailing Address - Fax:978-227-5712
Practice Address - Street 1:48 NELSON STREET
Practice Address - Street 2:
Practice Address - City:LEOMINSTER
Practice Address - State:MA
Practice Address - Zip Code:01453
Practice Address - Country:US
Practice Address - Phone:975-227-5386
Practice Address - Fax:978-227-5712
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-12
Last Update Date:2020-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management