| Circle Of Life Family Medicine Pc | |
|
6 Grove St Unit D Norwell MA 02061-1534 | |
| (339) 469-2707 | |
| Not Available |
| Full Name | Circle Of Life Family Medicine Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 6 Grove St, Norwell, Massachusetts |
| Authorized Official Name and Position | Jennifer Pichay (VICE PRESIDENT/TREASURER) |
| Authorized Official Contact | 8609660937 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Circle Of Life Family Medicine Pc 6 Grove St Unit D Norwell MA 02061-1534 Ph: () - | Circle Of Life Family Medicine Pc 6 Grove St Unit D Norwell MA 02061-1534 Ph: (339) 469-2707 |
| NPI Number | 1336388453 |
|---|---|
| Provider Enumeration Date | 02/12/2009 |
| Last Update Date | 05/01/2009 |
| Medicare PECOS PAC ID | 4587712112 |
|---|---|
| Medicare Enrollment ID | O20090508000063 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336388453 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 229765 (Massachusetts) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | 229762 (Massachusetts) | Primary |
| Provider Name | Christopher Pichay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952379943 PECOS PAC ID: 3173566031 Enrollment ID: I20061213000559 |
| Provider Name | Jennifer M Pichay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346217478 PECOS PAC ID: 8921007956 Enrollment ID: I20061220000201 |
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