| Southboro Medical Group, Inc. | |
|
24 Newton St Southborough MA 01772-1215 | |
| (508) 481-5500 | |
| (508) 460-3025 |
| Full Name | Southboro Medical Group, Inc. |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 24 Newton St, Southborough, Massachusetts |
| Authorized Official Name and Position | Marvin C. Ostrovsky (PRESIDENT) |
| Authorized Official Contact | 5084815500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southboro Medical Group, Inc. 24 Newton St Southborough MA 01772-1215 Ph: (508) 481-5500 | Southboro Medical Group, Inc. 24 Newton St Southborough MA 01772-1215 Ph: (508) 481-5500 |
| NPI Number | 1568473635 |
|---|---|
| Provider Enumeration Date | 08/11/2006 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568473635 | NPI | - | NPPES |
| 9706127 | Medicaid | MA |
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