| Alla Tibbetts Pc | |
|
2 Rehabilitation Way Woburn MA 01801-6003 | |
| (781) 935-5050 | |
| (781) 932-3278 |
| Full Name | Alla Tibbetts Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2 Rehabilitation Way, Woburn, Massachusetts |
| Authorized Official Name and Position | Alla Tibbetts (OWNER) |
| Authorized Official Contact | 7819333734 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alla Tibbetts Pc 110 Winn St Ste 104 Woburn MA 01801-2800 Ph: (781) 933-3734 | Alla Tibbetts Pc 2 Rehabilitation Way Woburn MA 01801-6003 Ph: (781) 935-5050 |
| NPI Number | 1366009540 |
|---|---|
| Provider Enumeration Date | 05/23/2019 |
| Last Update Date | 05/23/2019 |
| Medicare PECOS PAC ID | 7012240740 |
|---|---|
| Medicare Enrollment ID | O20190611002673 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366009540 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Alla Tibbetts |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386807329 PECOS PAC ID: 8224206453 Enrollment ID: I20110714000264 |
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