Provider Demographics
NPI:1548325715
Name:PLANNED PARENTHOOD LEAGUE OF MASS.
Entity type:Organization
Organization Name:PLANNED PARENTHOOD LEAGUE OF MASS.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PATIENT ACCOUNTS
Authorized Official - Prefix:MS
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:PERNA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:1800-258-4448
Mailing Address - Street 1:100 BEMIS RD
Mailing Address - Street 2:APT #311
Mailing Address - City:FITCHBURG
Mailing Address - State:MA
Mailing Address - Zip Code:01420-6477
Mailing Address - Country:US
Mailing Address - Phone:197-834-3434
Mailing Address - Fax:
Practice Address - Street 1:631 LINCOLN ST
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01605-2010
Practice Address - Country:US
Practice Address - Phone:150-885-4300
Practice Address - Fax:508-856-3400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA133871261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center