| |
100 Hospital Rd Suite 1c Leominster MA 01453-2253 | |
(978) 466-4212 | |
(978) 466-4669 |
Full Name | |
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Speciality | Internal Medicine - Infectious Disease |
Location | 100 Hospital Rd, Leominster, Massachusetts |
Authorized Official Name and Position | Phyllis Fabello (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 9784664268 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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100 Hospital Rd Suite 1c Leominster MA 01453-2253 Ph: (978) 466-4212 | 100 Hospital Rd Suite 1c Leominster MA 01453-2253 Ph: (978) 466-4212 |
NPI Number | 1093959975 |
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Provider Enumeration Date | 04/23/2009 |
Last Update Date | 06/11/2009 |
Identifier | Type | State | Issuer |
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1093959975 | NPI | - | NPPES |
M20928 | Other | MA | MEDICARE GROUP NUMBER |
Taxonomy | Type | License (State) | Status |
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207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
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