| Coastal Medical Associates, Inc | |
|
55 Fogg Rd Box 97 Weymouth MA 02190-2432 | |
| (781) 624-8719 | |
| (781) 682-5627 |
| Full Name | Coastal Medical Associates, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 55 Fogg Rd, Weymouth, Massachusetts |
| Authorized Official Name and Position | Jaclyn Valanzola (PROVIDER ENROLLMENT) |
| Authorized Official Contact | 7816810384 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Medical Associates, Inc 141 Longwater Dr Ste 201 Norwell MA 02061-1621 Ph: (781) 681-0384 | Coastal Medical Associates, Inc 55 Fogg Rd Box 97 Weymouth MA 02190-2432 Ph: (781) 624-8719 |
| NPI Number | 1609297548 |
|---|---|
| Provider Enumeration Date | 12/19/2013 |
| Last Update Date | 01/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609297548 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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