Provider Demographics
NPI:1831201110
Name:TOTAL HEALTH CARE, PC
Entity type:Organization
Organization Name:TOTAL HEALTH CARE, PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:M
Authorized Official - Last Name:DELANY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-698-0715
Mailing Address - Street 1:2 REEDSDALE RD
Mailing Address - Street 2:KERRIGAN'S CORNER
Mailing Address - City:MILTON
Mailing Address - State:MA
Mailing Address - Zip Code:02186-3324
Mailing Address - Country:US
Mailing Address - Phone:617-698-0715
Mailing Address - Fax:617-698-7559
Practice Address - Street 1:2 REEDSDALE RD
Practice Address - Street 2:KERRIGAN'S CORNER
Practice Address - City:MILTON
Practice Address - State:MA
Practice Address - Zip Code:02186-3324
Practice Address - Country:US
Practice Address - Phone:617-698-0715
Practice Address - Fax:617-698-7559
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA9759727Medicaid
MA9759727Medicaid