Provider Demographics
NPI:1710016316
Name:PULMONARY & PRIMARY CARE ASSOCIATES OF PLYMOUTH, PC
Entity Type:Organization
Organization Name:PULMONARY & PRIMARY CARE ASSOCIATES OF PLYMOUTH, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:NAHILL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:508-747-1318
Mailing Address - Street 1:116 COURT ST
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02360-3808
Mailing Address - Country:US
Mailing Address - Phone:508-747-1318
Mailing Address - Fax:508-747-1410
Practice Address - Street 1:116 COURT ST
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02360-3808
Practice Address - Country:US
Practice Address - Phone:508-747-1318
Practice Address - Fax:508-747-1410
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-02
Last Update Date:2020-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA667829OtherGROUP TUFTS HEALTH PLAN
MA9711040Medicaid
MACH4053OtherGROUP RAILROAD MEDICARE
MAM17109OtherGROUP BCBS
MAYY47OtherGROUP HARVARD PILGRIM
MA9711040Medicaid