Cedar Street Family Clinic Inc | |
340 Main St 869 Worcester MA 01608-1604 | |
(508) 752-1331 | |
Not Available |
Full Name | Cedar Street Family Clinic Inc |
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Speciality | Community/behavioral Health |
Location | 340 Main St, Worcester, Massachusetts |
Authorized Official Name and Position | Arthur Francis Losapio (PRESIDENT) |
Authorized Official Contact | 5087521331 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Cedar Street Family Clinic Inc 340 Main St 869 Worcester MA 01608-1604 Ph: (508) 752-1331 | Cedar Street Family Clinic Inc 340 Main St 869 Worcester MA 01608-1604 Ph: (508) 752-1331 |
NPI Number | 1053719765 |
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Provider Enumeration Date | 12/11/2014 |
Last Update Date | 12/11/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053719765 | NPI | - | NPPES |
110028186/A | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 406F (Massachusetts) | Primary |
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