Basic Information
Provider Information
NPI: 1386734838
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: POMMETT
FirstName: ERIKA
MiddleName: C
NamePrefix: DR.
NameSuffix:  
Credential: DO
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 9 INDUSTRIAL RD
Address2: SUITE 5
City: MILFORD
State: MA
PostalCode: 017573735
CountryCode: US
TelephoneNumber: 5084731480
FaxNumber: 5084731210
Practice Location
Address1: 100 COMMERCE DR
Address2:  
City: NORTHBRIDGE
State: MA
PostalCode: 015341415
CountryCode: US
TelephoneNumber: 5082346311
FaxNumber: 5082344215
Other Information
ProviderEnumerationDate: 10/13/2006
LastUpdateDate: 12/12/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000X02002640AINN Allopathic & Osteopathic PhysiciansFamily Medicine 
207Q00000X237184MAY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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