Iasis Solutions | |
50 Lexington St # 2 Framingham MA 01702-8219 | |
(617) 454-4186 | |
Not Available |
Full Name | Iasis Solutions |
---|---|
Speciality | Clinic/Center |
Location | 50 Lexington St # 2, Framingham, Massachusetts |
Authorized Official Name and Position | Virginia Ndoro (PROPRIETOR) |
Authorized Official Contact | 6714544186 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Iasis Solutions 803 Windsor Dr Framingham MA 01701-5007 Ph: (774) 414-4186 | Iasis Solutions 50 Lexington St # 2 Framingham MA 01702-8219 Ph: (617) 454-4186 |
NPI Number | 1750799326 |
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Provider Enumeration Date | 07/28/2014 |
Last Update Date | 08/31/2020 |
Certification Date | 08/31/2020 |
Medicare PECOS PAC ID | 3274954680 |
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Medicare Enrollment ID | O20200610000984 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750799326 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
363LF0000X | Nurse Practitioner - Family | RN27515 (Massachusetts) | Secondary |
Provider Name | Virginia Ndoro |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487833299 PECOS PAC ID: 5294997342 Enrollment ID: I20120507000375 |
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