Compassionate Care Physicians Llc | |
9 Mill And Main Pl Ste 101 Maynard MA 01754-2651 | |
(978) 823-0023 | |
(978) 823-0000 |
Full Name | Compassionate Care Physicians Llc |
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Speciality | Clinic/Center |
Location | 9 Mill And Main Pl Ste 101, Maynard, Massachusetts |
Authorized Official Name and Position | Karen M Fanucci (OWNER) |
Authorized Official Contact | 9788230023 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Compassionate Care Physicians Llc 9 Mill And Main Pl Ste 101 Maynard MA 01754-2651 Ph: (978) 823-0023 | Compassionate Care Physicians Llc 9 Mill And Main Pl Ste 101 Maynard MA 01754-2651 Ph: (978) 823-0023 |
NPI Number | 1306403613 |
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Provider Enumeration Date | 05/22/2019 |
Last Update Date | 05/22/2019 |
Medicare PECOS PAC ID | 2365779329 |
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Medicare Enrollment ID | O20190814000130 |
Identifier | Type | State | Issuer |
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1306403613 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Karen M Fanucci |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1679545339 PECOS PAC ID: 0244285534 Enrollment ID: I20050321000125 |
Compassionate Care Internal Medicine,llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 146 Main St, Maynard, MA 01754 Phone: 978-823-0023 |