Provider Demographics
NPI:1376667097
Name:PARE ELOVITZ AND ASSOCIATES
Entity Type:Organization
Organization Name:PARE ELOVITZ AND ASSOCIATES
Other - Org Name:PARE AND ASSOCIATES
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER PARE AND ASSOCIATES
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:A
Authorized Official - Last Name:PARE
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW SOCIAL WORKER
Authorized Official - Phone:508-775-0719
Mailing Address - Street 1:PO BOX 940
Mailing Address - Street 2:572 MAIN STREET PARE AND ASSOCIATES
Mailing Address - City:WEST YARMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02673
Mailing Address - Country:US
Mailing Address - Phone:508-775-0719
Mailing Address - Fax:508-775-5309
Practice Address - Street 1:572 MAIN STREET
Practice Address - Street 2:PARE AND ASSOCIATES
Practice Address - City:WEST YARMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02673
Practice Address - Country:US
Practice Address - Phone:508-775-0719
Practice Address - Fax:508-775-5309
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-19
Last Update Date:2011-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA101803251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
1154432342OtherINDIVIDUAL NPI #
P05490Medicare ID - Type Unspecified