Dr. Aweh-kisob Pllc | |
269 Carlisle Rd Bedford MA 01730-1536 | |
(617) 642-0441 | |
Not Available |
Full Name | Dr. Aweh-kisob Pllc |
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Speciality | Internal Medicine |
Location | 269 Carlisle Rd, Bedford, Massachusetts |
Authorized Official Name and Position | Nelson Aweh (OWNER) |
Authorized Official Contact | 6176420441 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Dr. Aweh-kisob Pllc 269 Carlisle Rd Bedford MA 01730-1536 Ph: () - | Dr. Aweh-kisob Pllc 269 Carlisle Rd Bedford MA 01730-1536 Ph: (617) 642-0441 |
NPI Number | 1326727660 |
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Provider Enumeration Date | 07/13/2023 |
Last Update Date | 07/13/2023 |
Medicare PECOS PAC ID | 4284083569 |
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Medicare Enrollment ID | O20231212002093 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326727660 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Nelson K Aweh |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1891923199 PECOS PAC ID: 0749423507 Enrollment ID: I20130826000835 |
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