| Brain Care Specialists Pc | |
|
92 High St 4th Floor Medford MA 02155 | |
| (617) 460-3611 | |
| Not Available |
| Full Name | Brain Care Specialists Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 92 High St, Medford, Massachusetts |
| Authorized Official Name and Position | Andrew Mooring Aldridge (PRESIDENT AND CEO) |
| Authorized Official Contact | 6174603611 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brain Care Specialists Pc 29 Ashland St Medford MA 02155-3238 Ph: (617) 460-3611 | Brain Care Specialists Pc 92 High St 4th Floor Medford MA 02155 Ph: (617) 460-3611 |
| NPI Number | 1972939890 |
|---|---|
| Provider Enumeration Date | 09/24/2013 |
| Last Update Date | 07/24/2018 |
| Medicare PECOS PAC ID | 3476802380 |
|---|---|
| Medicare Enrollment ID | O20180824002126 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972939890 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 76759 (Massachusetts) | Primary |
| Provider Name | Andrew M Aldridge |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396712659 PECOS PAC ID: 0749223956 Enrollment ID: I20050608000945 |
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