Provider Demographics
NPI:1437728482
Name:EASTERN PULMONARY SERVICES, INC.
Entity Type:Organization
Organization Name:EASTERN PULMONARY SERVICES, INC.
Other - Org Name:EASTERN SLEEP & RESPIRATORY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:PETER
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:FALKSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:857-400-0044
Mailing Address - Street 1:277 SOUTH ST STE 1
Mailing Address - Street 2:
Mailing Address - City:WALPOLE
Mailing Address - State:MA
Mailing Address - Zip Code:02081-2731
Mailing Address - Country:US
Mailing Address - Phone:857-400-0044
Mailing Address - Fax:
Practice Address - Street 1:277 SOUTH ST STE 1
Practice Address - Street 2:
Practice Address - City:WALPOLE
Practice Address - State:MA
Practice Address - Zip Code:02081-2731
Practice Address - Country:US
Practice Address - Phone:857-400-0044
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:EASTERN PULMONARY SERVICES, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-06-23
Last Update Date:2021-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA347154OtherBC/BS OF MASSACHUSETTS
MA701705OtherHARVARD PILGRIM HEALTH CA
MA1534343Medicaid
MA801507OtherTUFTS HMO