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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LONGEVITY GROUP LLC

Active Organization

Psychiatry · EAST BRIDGEWATER, MA

Registration Details

NPI Number
1124535729
Provider Type
Organization
NPI Issued
Jan 4, 2018 (8.2951070418128 yrs)
Last Updated
Jun 16, 2018
Licenses
233962 (MA)
233962 (MA)
233962 (MA)

Practice Information

Address
76 N BEDFORD ST UNIT A-4
EAST BRIDGEWATER, MA, 023331182
Browse MA providers · Browse ZIP 02333
Phone
5984843251
Primary Specialty
Psychiatry
2084P0800X
Additional Specialty
Licensed Genetic Counselor
Additional Specialty
Addiction Psychiatry
Additional Specialty
Psychosomatic Medicine
Additional Specialty
Geriatric Psychiatry
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.