Provider Demographics
NPI:1578693636
Name:PLANNED PARENTHOOD LEAGUE OF MASSACHUSETTS
Entity Type:Organization
Organization Name:PLANNED PARENTHOOD LEAGUE OF MASSACHUSETTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEALTH SERVICES DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:CAPONI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-854-3300
Mailing Address - Street 1:3 SAINT PAUL DR
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01602-1519
Mailing Address - Country:US
Mailing Address - Phone:508-756-6078
Mailing Address - Fax:
Practice Address - Street 1:3 SAINT PAUL DR
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01602-1519
Practice Address - Country:US
Practice Address - Phone:508-756-6078
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-07
Last Update Date:2007-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1247261QA0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0005XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Family Planning Facility