| |
9 Branch St, Methuen, MA 01844-1955 | |
(978) 683-9177 | |
(978) 688-8679 |
Full Name | |
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Type | Facility |
Speciality | Internal Medicine |
Location | 9 Branch St, Methuen, Massachusetts |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033145297 | NPI | - | NPPES |
9779086 | Medicaid | MA | |
604043 | Other | MA | TUFTS HEALTH PLAN |
M19186 | Other | MA | BC/BS OF MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | (* (Not Available)) | Secondary |
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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9 Branch St, Methuen, MA 01844-1955 Ph: (978) 683-9177 | 9 Branch St, Methuen, MA 01844-1955 Ph: (978) 683-9177 |