| Dba Cpc Family Practice | |
|
155 Franklin Road Fitchburg MA 01420 | |
| (978) 342-6240 | |
| (978) 342-6240 |
| Full Name | Dba Cpc Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 155 Franklin Road, Fitchburg, 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 |
|---|---|
| Dba Cpc Family Practice 155 Franklin Road Fitchburg MA 01420 Ph: (978) 342-6240 | Dba Cpc Family Practice 155 Franklin Road Fitchburg MA 01420 Ph: (978) 342-6240 |
| NPI Number | 1306090527 |
|---|---|
| Provider Enumeration Date | 11/14/2008 |
| Last Update Date | 06/11/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306090527 | NPI | - | NPPES |
| M20928 | Other | MA | MEDICARE GROUP NUMBER |
| 110072006A | Medicaid | MA | |
| 9771476 | Other | MA | MA HEALTH GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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