American Well Physicians Michigan Pc | |
75 State St Fl 26 Boston MA 02109-1827 | |
(617) 204-3500 | |
Not Available |
Full Name | American Well Physicians Michigan Pc |
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Speciality | General Practice |
Location | 75 State St Fl 26, Boston, Massachusetts |
Authorized Official Name and Position | Peter Antall (PRESIDENT) |
Authorized Official Contact | 6172043500 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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American Well Physicians Michigan Pc 75 State St Fl 26 Boston MA 02109-1827 Ph: () - | American Well Physicians Michigan Pc 75 State St Fl 26 Boston MA 02109-1827 Ph: (617) 204-3500 |
NPI Number | 1457787160 |
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Provider Enumeration Date | 09/25/2013 |
Last Update Date | 01/14/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457787160 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | (* (Not Available)) | Primary |
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