| Aesclepion Healthcare Llc. | |
|
385 Grove St Worcester MA 01605-3924 | |
| (508) 756-9200 | |
| Not Available |
| Full Name | Aesclepion Healthcare Llc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 385 Grove St, Worcester, Massachusetts |
| Authorized Official Name and Position | George Groussis (PRESIDENT) |
| Authorized Official Contact | 5087538800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aesclepion Healthcare Llc. 385 Grove St Worcester MA 01605-3924 Ph: (508) 756-9200 | Aesclepion Healthcare Llc. 385 Grove St Worcester MA 01605-3924 Ph: (508) 756-9200 |
| NPI Number | 1265626493 |
|---|---|
| Provider Enumeration Date | 08/30/2007 |
| Last Update Date | 08/30/2007 |
| Medicare PECOS PAC ID | 3173603057 |
|---|---|
| Medicare Enrollment ID | O20080104000175 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265626493 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 81987 (Massachusetts) | Primary |
| Provider Name | George Groussis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184690992 PECOS PAC ID: 3779539226 Enrollment ID: I20050328000678 |
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