Cedar Street Family Clinic Inc. | |
340 Main St Worcester MA 01608-1604 | |
(508) 752-1331 | |
(508) 752-1511 |
Full Name | Cedar Street Family Clinic Inc. |
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Speciality | Social Worker |
Location | 340 Main St, Worcester, Massachusetts |
Authorized Official Name and Position | Arthur Francis Losapio (PRESIDENT) |
Authorized Official Contact | 5087521331 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Cedar Street Family Clinic Inc. 340 Main St Suite775 Worcester MA 01608-1604 Ph: (508) 752-1331 | Cedar Street Family Clinic Inc. 340 Main St Worcester MA 01608-1604 Ph: (508) 752-1331 |
NPI Number | 1326092537 |
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Provider Enumeration Date | 05/20/2006 |
Last Update Date | 04/12/2011 |
Medicare PECOS PAC ID | 3870537095 |
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Medicare Enrollment ID | O20050617000331 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326092537 | NPI | - | NPPES |
1319761 | Medicaid | MA |
Provider Name | Arthur F Losapio |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1902970908 PECOS PAC ID: 0143264366 Enrollment ID: I20060215000203 |
Provider Name | Mark O Cutler |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1528044328 PECOS PAC ID: 7810906948 Enrollment ID: I20060418000197 |
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