| |
660 Middlesex St Unit # 7 Lowell MA 01851-1432 | |
(978) 454-9703 | |
(978) 937-7978 |
Full Name | |
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Speciality | Family Medicine |
Location | 660 Middlesex St, Lowell, Massachusetts |
Authorized Official Name and Position | Ashwinkumar Ishwarbhai Patel (PRESIDENT) |
Authorized Official Contact | 9784549703 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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660 Middlesex St Unit # 7 Lowell MA 01851-1432 Ph: (978) 454-9703 | 660 Middlesex St Unit # 7 Lowell MA 01851-1432 Ph: (978) 454-9703 |
NPI Number | 1245323195 |
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Provider Enumeration Date | 10/02/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245323195 | NPI | - | NPPES |
9777539 | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 40693 (Massachusetts) | Primary |
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