Active NPIOrganization

Longevity Group LLC

Psychiatry & Neurology, Psychiatry in East Bridgewater, Massachusetts

NPI Number1124535729
Practice location
76 N Bedford St Unit A-4, East Bridgewater, MA 02333-1182
Fax
—
Last updated
June 16, 2018

Longevity Group LLC is a healthcare organization based in East Bridgewater, MA. Longevity Group LLC practices in East Bridgewater, MA. The NPI Number for Longevity Group LLC is 1124535729 and holds a License No. 233962 (MA). The current practice location address for Longevity Group LLC is 76 N Bedford St Unit A-4, East Bridgewater, MA 02333-1182 and can be reached out via phone at 598-484-3251.

Provider Profile Details

NPI Number
1124535729
Provider Name
Longevity Group LLC
Provider Entity Type
Organization
Address
76 N Bedford St Unit A-4, East Bridgewater, MA 02333-1182
Phone Number
598-484-3251
Primary Taxonomy
Psychiatry & Neurology, Psychiatry · 2084P0800X
Organization Subpart
No
Authorized Official
Dr. Anita Bodrogne Szabo, MD · Owner · 508-484-3251
Provider Enumeration Date
January 4, 2018
Last Update Date
June 16, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
76 N Bedford St Unit A-4
East Bridgewater, MA 02333-1182
Zip
02333-1182
Phone Number
598-484-3251
East Bridgewater, MA 02333Get directions →

Provider Business Mailing Address Details

Address
57 Miranda Way
Bridgewater, MA 02324-1481
City
Bridgewater
State
MA
Zip
02324-1481
Phone Number
508-697-6385
Fax Number
978-630-6052

License Information

License State (1)
MA
Taxonomy (1)
Psychologist, Group Psychotherapy · 103TP2701X
Taxonomy (2)
Licensed Psychiatric Technician · 167G00000X
License Number (3)
233962
License State (3)
MA
License Number (4)
233962
License State (4)
MA
License Number (5)
233962
License State (5)
MA
Taxonomy (5)
· 2084P0805X
License Number (6)
233962
License State (6)
MA
Taxonomy (6)
Psychiatry & Neurology, Psychiatry · 2084P0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Longevity Group LLC?

The NPI number of Longevity Group LLC is 1124535729. It was assigned on January 4, 2018 and is currently active in the NPPES registry.

What is the specialty of Longevity Group LLC?

Longevity Group LLC is registered under the primary taxonomy Psychiatry & Neurology, Psychiatry (code 2084P0800X), licensed in MA under license number 233962.

Where does Longevity Group LLC practice?

The practice location is 76 N Bedford St Unit A-4, East Bridgewater, MA 02333-1182. The office can be reached at 598-484-3251 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1124535729 directly on the NPPES registry website.

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