| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| 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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