Dba Cpc Family Practice | |
155 Franklin Road Fitchburg MA 01420 | |
(978) 342-6240 | |
(978) 342-6240 |
Full Name | Dba Cpc Family Practice |
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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 |
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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 |
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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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