Provider Demographics
NPI:1497867915
Name:METROWEST EMERGENCY PHYSICIANS INC
Entity Type:Organization
Organization Name:METROWEST EMERGENCY PHYSICIANS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:SOTIR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:508-383-1104
Mailing Address - Street 1:160 FEDERAL STREET
Mailing Address - Street 2:9TH FLOOR
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02110
Mailing Address - Country:US
Mailing Address - Phone:508-383-1104
Mailing Address - Fax:508-383-1138
Practice Address - Street 1:115 LINCOLN STREET
Practice Address - Street 2:
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01702
Practice Address - Country:US
Practice Address - Phone:508-383-1104
Practice Address - Fax:508-383-1138
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2015-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA9734511Medicaid
MA9734511Medicaid