Circle Of Life Md Llc | |
203 Willow St Bldg B South Hamilton MA 01982-2292 | |
(978) 535-6043 | |
(978) 535-6047 |
Full Name | Circle Of Life Md Llc |
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Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
Location | 203 Willow St Bldg B, South Hamilton, Massachusetts |
Authorized Official Name and Position | Kirsten E Wagner (OWNER-DIRECTOR) |
Authorized Official Contact | 9784682850 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Circle Of Life Md Llc 205 Willow St Bldg B South Hamilton MA 01982-2255 Ph: (978) 535-6043 | Circle Of Life Md Llc 203 Willow St Bldg B South Hamilton MA 01982-2292 Ph: (978) 535-6043 |
NPI Number | 1326368325 |
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Provider Enumeration Date | 06/02/2010 |
Last Update Date | 02/16/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326368325 | NPI | - | NPPES |
223761 | Other | MA | LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Primary |
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