Centered Primary Care, Pllc | |
966 Park St Ste B6 Stoughton MA 02072-3650 | |
(508) 365-2041 | |
(508) 365-2042 |
Full Name | Centered Primary Care, Pllc |
---|---|
Speciality | Family Medicine |
Location | 966 Park St Ste B6, Stoughton, Massachusetts |
Authorized Official Name and Position | Roberto Amado (OWNER/CEO) |
Authorized Official Contact | 5089447881 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Centered Primary Care, Pllc 52 Cabral Cir Stoughton MA 02072-3553 Ph: () - | Centered Primary Care, Pllc 966 Park St Ste B6 Stoughton MA 02072-3650 Ph: (508) 365-2041 |
NPI Number | 1912775446 |
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Provider Enumeration Date | 12/14/2023 |
Last Update Date | 12/14/2023 |
Medicare PECOS PAC ID | 6305280249 |
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Medicare Enrollment ID | O20240219001868 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912775446 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Roberto S Amado |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1518498484 PECOS PAC ID: 4981978996 Enrollment ID: I20200818002188 |
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