Provider Demographics
NPI:1255051850
Name:GATHER HEALTH PRIMARY CARE OF MASSACHUSETTS PC
Entity type:Organization
Organization Name:GATHER HEALTH PRIMARY CARE OF MASSACHUSETTS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INCORPORATOR &CHIEF MEDICAL OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:LOUGHNANE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:857-544-1097
Mailing Address - Street 1:744 E SQUANTUM ST
Mailing Address - Street 2:
Mailing Address - City:QUINCY
Mailing Address - State:MA
Mailing Address - Zip Code:02171-1253
Mailing Address - Country:US
Mailing Address - Phone:617-820-5968
Mailing Address - Fax:833-471-5603
Practice Address - Street 1:205 PARKINGWAY
Practice Address - Street 2:
Practice Address - City:QUINCY
Practice Address - State:MA
Practice Address - Zip Code:02169
Practice Address - Country:US
Practice Address - Phone:617-820-5968
Practice Address - Fax:833-471-5603
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-01
Last Update Date:2024-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty