Provider Demographics
NPI:1326488115
Name:PHONEDOCTORX, LLC.
Entity Type:Organization
Organization Name:PHONEDOCTORX, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF MEDICAL OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:SPIRITO
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:508-999-3133
Mailing Address - Street 1:200 MILL RD
Mailing Address - Street 2:SUITE 350 B
Mailing Address - City:FAIRHAVEN
Mailing Address - State:MA
Mailing Address - Zip Code:02719-5252
Mailing Address - Country:US
Mailing Address - Phone:508-999-3133
Mailing Address - Fax:508-999-3533
Practice Address - Street 1:350 MILL RD
Practice Address - Street 2:SUITE 350 B
Practice Address - City:FAIRHAVEN
Practice Address - State:MA
Practice Address - Zip Code:02719-5252
Practice Address - Country:US
Practice Address - Phone:508-999-3133
Practice Address - Fax:508-999-3533
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-26
Last Update Date:2013-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA43492207P00000X
MA59251207P00000X
MA47496207P00000X
MA53803207P00000X
MA43920207P00000X
MA150105207Q00000X
MA231610207R00000X
MA224456207R00000X
MA229250207R00000X
MA241692207R00000X
MA36492208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Single Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
No208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty