Provider Demographics
NPI:1770576282
Name:HOOD NADEAU LLC
Entity type:Organization
Organization Name:HOOD NADEAU LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CATHLEEN
Authorized Official - Middle Name:SLOAN
Authorized Official - Last Name:HOOD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:508-636-7890
Mailing Address - Street 1:PO BOX 3750
Mailing Address - Street 2:
Mailing Address - City:WESTPORT
Mailing Address - State:MA
Mailing Address - Zip Code:02790-0746
Mailing Address - Country:US
Mailing Address - Phone:508-636-7890
Mailing Address - Fax:508-636-7299
Practice Address - Street 1:793 MAIN RD
Practice Address - Street 2:
Practice Address - City:WESTPORT
Practice Address - State:MA
Practice Address - Zip Code:02790-4358
Practice Address - Country:US
Practice Address - Phone:508-636-7890
Practice Address - Fax:508-636-7299
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-30
Last Update Date:2008-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA9704761Medicaid
MAF13062Medicare UPIN
MA9704761Medicaid