| Braintree Family Physician Inc | |
|
382 Grove Street Braintree MA 02184 | |
| (781) 848-1555 | |
| (781) 848-2312 |
| Full Name | Braintree Family Physician Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 382 Grove Street, Braintree, Massachusetts |
| Authorized Official Name and Position | E John Lentini (PRESIDENT OF BRAINTREE FAMILY PYSIC) |
| Authorized Official Contact | 7818481555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Braintree Family Physician Inc 382 Grove Street Braintree MA 02184 Ph: (781) 848-1555 | Braintree Family Physician Inc 382 Grove Street Braintree MA 02184 Ph: (781) 848-1555 |
| NPI Number | 1871610923 |
|---|---|
| Provider Enumeration Date | 03/23/2007 |
| Last Update Date | 09/01/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871610923 | NPI | - | NPPES |
| 9762957 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 71650 (Massachusetts) | Primary |
| 207Q00000X | Family Medicine | 27809 (Massachusetts) | Secondary |
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