| Diabetes Reversal Partners | |
|
275 Grove St Ste 400 Auburndale MA 02466-2272 | |
| (617) 600-8863 | |
| (617) 207-2896 |
| Full Name | Diabetes Reversal Partners |
|---|---|
| Speciality | Internal Medicine |
| Location | 275 Grove St Ste 400, Auburndale, Massachusetts |
| Authorized Official Name and Position | Michael L. Dansinger (OWNER) |
| Authorized Official Contact | 6176367105 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Diabetes Reversal Partners 831 Beacon St Ste 264 Newton MA 02459-1822 Ph: (617) 600-8863 | Diabetes Reversal Partners 275 Grove St Ste 400 Auburndale MA 02466-2272 Ph: (617) 600-8863 |
| NPI Number | 1629427414 |
|---|---|
| Provider Enumeration Date | 06/13/2016 |
| Last Update Date | 08/24/2023 |
| Medicare PECOS PAC ID | 8426338146 |
|---|---|
| Medicare Enrollment ID | O20161214001759 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629427414 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Michael L Dansinger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629151089 PECOS PAC ID: 5597775171 Enrollment ID: I20060426000746 |
Hmr Management Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 130 Rumford Ave, Suite 107, Auburndale, MA 02466 Phone: 617-965-1273 Fax: 617-964-1521 |