Drum Hill Primary Care Llc | |
4 Courthouse Lane, Suite 1-3 Chelmsford MA 01824-1738 | |
(978) 452-0052 | |
Not Available |
Full Name | Drum Hill Primary Care Llc |
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Speciality | Family Medicine |
Location | 4 Courthouse Lane, Suite 1-3, Chelmsford, Massachusetts |
Authorized Official Name and Position | Ghazala Alam (OWNER) |
Authorized Official Contact | 9784520052 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Drum Hill Primary Care Llc 4 Courthouse Lane, Suite 1-3 Chelmsford MA 01824-1738 Ph: (978) 452-0052 | Drum Hill Primary Care Llc 4 Courthouse Lane, Suite 1-3 Chelmsford MA 01824-1738 Ph: (978) 452-0052 |
NPI Number | 1144497256 |
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Provider Enumeration Date | 05/08/2008 |
Last Update Date | 03/19/2012 |
Medicare PECOS PAC ID | 3577719772 |
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Medicare Enrollment ID | O20120803000105 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144497256 | NPI | - | NPPES |
43543 | Other | MA | FALLON |
710744 | Other | MA | HARVARD PILGRIM |
0101172 | Other | MA | UNITED HEALTHCARE |
3201449 | Medicaid | MA | |
158508 | Other | MA | TUFTS |
M17731 | Other | MA | BLUE CROSS BLUE SHIELD MASSACHUSETTS |
B10379801 | Other | MA | CIGNA |
5324329 | Other | MA | AETNA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 158508 (Massachusetts) | Primary |
Provider Name | Ghazala E Alam |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1225007313 PECOS PAC ID: 3375595226 Enrollment ID: I20050218000390 |
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