Provider Demographics
NPI:1558658625
Name:NEXTMARGIN CORPORATION
Entity Type:Organization
Organization Name:NEXTMARGIN CORPORATION
Other - Org Name:FORTCOM HEALTH SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SHOLA
Authorized Official - Middle Name:
Authorized Official - Last Name:MUYIDE
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
Authorized Official - Phone:617-229-6161
Mailing Address - Street 1:300 CONGRESS ST STE 314
Mailing Address - Street 2:
Mailing Address - City:QUINCY
Mailing Address - State:MA
Mailing Address - Zip Code:02169-0907
Mailing Address - Country:US
Mailing Address - Phone:617-229-6161
Mailing Address - Fax:617-229-6363
Practice Address - Street 1:300 CONGRESS ST STE 314
Practice Address - Street 2:
Practice Address - City:QUINCY
Practice Address - State:MA
Practice Address - Zip Code:02169-0907
Practice Address - Country:US
Practice Address - Phone:617-229-6161
Practice Address - Fax:617-229-6363
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-08
Last Update Date:2020-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care