Provider Demographics
NPI:1104438480
Name:POST ACUTE SPECIALISTS OF MASSACHUSETTS PLLC
Entity type:Organization
Organization Name:POST ACUTE SPECIALISTS OF MASSACHUSETTS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:LAUREL
Authorized Official - Middle Name:
Authorized Official - Last Name:DOTAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-215-1603
Mailing Address - Street 1:119 S WESTERN AVE UNIT 1
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60612-4644
Mailing Address - Country:US
Mailing Address - Phone:800-411-6768
Mailing Address - Fax:855-751-8051
Practice Address - Street 1:68 DEAN ST
Practice Address - Street 2:
Practice Address - City:TAUNTON
Practice Address - State:MA
Practice Address - Zip Code:02780-2713
Practice Address - Country:US
Practice Address - Phone:800-411-6768
Practice Address - Fax:855-751-8051
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-19
Last Update Date:2024-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty