Provider Demographics
NPI:1205246089
Name:COMPASSIONATE CARE INTERNAL MEDICINE,LLC
Entity type:Organization
Organization Name:COMPASSIONATE CARE INTERNAL MEDICINE,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SEYMOUR
Authorized Official - Middle Name:A
Authorized Official - Last Name:DIMARE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:774-563-0386
Mailing Address - Street 1:146 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MAYNARD
Mailing Address - State:MA
Mailing Address - Zip Code:01754-2504
Mailing Address - Country:US
Mailing Address - Phone:978-823-0023
Mailing Address - Fax:
Practice Address - Street 1:146 MAIN ST
Practice Address - Street 2:
Practice Address - City:MAYNARD
Practice Address - State:MA
Practice Address - Zip Code:01754-2504
Practice Address - Country:US
Practice Address - Phone:978-823-0023
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-02
Last Update Date:2014-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty