| Charlton Family Practice | |
|
246 Southbridge Road Charlton MA 01507-5237 | |
| (508) 248-7849 | |
| (508) 248-6541 |
| Full Name | Charlton Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 246 Southbridge Road, Charlton, Massachusetts |
| Authorized Official Name and Position | Paul D Harrington (OWNER PRESIDENT) |
| Authorized Official Contact | 5082487849 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Charlton Family Practice 246 Southbridge Road Charlton MA 01507-5237 Ph: (508) 248-7849 | Charlton Family Practice 246 Southbridge Road Charlton MA 01507-5237 Ph: (508) 248-7849 |
| NPI Number | 1447321385 |
|---|---|
| Provider Enumeration Date | 11/13/2006 |
| Last Update Date | 07/30/2008 |
| Medicare PECOS PAC ID | 3476522160 |
|---|---|
| Medicare Enrollment ID | O20040929000676 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447321385 | NPI | - | NPPES |
| 9758283 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 49523 (Massachusetts) | Primary |
| Provider Name | Andrey Sayko |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730112368 PECOS PAC ID: 7416935622 Enrollment ID: I20040713000432 |
| Provider Name | Paul D Harrington |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972671758 PECOS PAC ID: 5294704987 Enrollment ID: I20050728000451 |