Massachusetts Wellness Group

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

Legal business name

MASSACHUSETTS WELLNESS GROUP

Practice address

360 Brockton Ave
Suite 203
Abington, MA 02351-2186

Phone

(781) 982-0100

NPI assigned

Jan 25, 2012

Last updated

Jan 25, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Michael Campanale

Title

Owner

Phone

(617) 947-1666

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1327449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327449600000",
    "number": "1740551589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 BROCKTON AVE",
            "address_2": "SUITE 203",
            "city": "ABINGTON",
            "state": "MA",
            "postal_code": "023512186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 BROCKTON AVE",
            "address_2": "SUITE 203",
            "city": "ABINGTON",
            "state": "MA",
            "postal_code": "023512186",
            "telephone_number": "781-982-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASSACHUSETTS WELLNESS GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-25",
        "last_updated": "2012-01-25",
        "status": "A",
        "authorized_official_last_name": "CAMPANALE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-947-1666"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Exclusive Provider Organization in Abington, MA
• Providers in Abington, MA by specialty
• Exclusive Provider Organization in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.