Provider Demographics
NPI:1447334560
Name:HEALTHWORKS, INC
Entity type:Organization
Organization Name:HEALTHWORKS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:IRENE
Authorized Official - Middle Name:
Authorized Official - Last Name:GORANITIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:781-326-6005
Mailing Address - Street 1:126 COMMONWEALTH AVE
Mailing Address - Street 2:
Mailing Address - City:DEDHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02026-1766
Mailing Address - Country:US
Mailing Address - Phone:781-326-6005
Mailing Address - Fax:
Practice Address - Street 1:126 COMMONWEALTH AVE
Practice Address - Street 2:
Practice Address - City:DEDHAM
Practice Address - State:MA
Practice Address - Zip Code:02026-1441
Practice Address - Country:US
Practice Address - Phone:781-326-6005
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA53227207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA6183794Medicare ID - Type Unspecified
MAA57106Medicare UPIN