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1069 Central St Leominster MA 01453-4805 | |
(978) 534-3500 | |
(978) 466-6307 |
Full Name | |
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Speciality | Family Medicine |
Location | 1069 Central St, Leominster, Massachusetts |
Authorized Official Name and Position | Phyllis Fabello (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 9784664243 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1069 Central St Leominster MA 01453-4805 Ph: (978) 534-3500 | 1069 Central St Leominster MA 01453-4805 Ph: (978) 534-3500 |
NPI Number | 1801021951 |
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Provider Enumeration Date | 05/19/2009 |
Last Update Date | 06/11/2009 |
Identifier | Type | State | Issuer |
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1801021951 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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