Provider Demographics
NPI:1457789414
Name:PROVIDERS WHO CARE PC
Entity Type:Organization
Organization Name:PROVIDERS WHO CARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ARKADI
Authorized Official - Middle Name:N
Authorized Official - Last Name:GATT
Authorized Official - Suffix:
Authorized Official - Credentials:MS PAC
Authorized Official - Phone:617-877-2325
Mailing Address - Street 1:1853 COMMONWEALTH AVE
Mailing Address - Street 2:SUITE 1
Mailing Address - City:BRIGHTON
Mailing Address - State:MA
Mailing Address - Zip Code:02135-5498
Mailing Address - Country:US
Mailing Address - Phone:617-254-3006
Mailing Address - Fax:617-254-3007
Practice Address - Street 1:1853 COMMONWEALTH AVE
Practice Address - Street 2:SUITE 1
Practice Address - City:BRIGHTON
Practice Address - State:MA
Practice Address - Zip Code:02135-5498
Practice Address - Country:US
Practice Address - Phone:617-254-3006
Practice Address - Fax:617-254-3007
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-29
Last Update Date:2013-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric MedicineGroup - Single Specialty