Dutton Family Care Associates Llp | |
33 Avon St Wakefield MA 01880-2310 | |
(781) 245-0402 | |
(781) 246-0847 |
Full Name | Dutton Family Care Associates Llp |
---|---|
Speciality | Family Medicine |
Location | 33 Avon St, Wakefield, Massachusetts |
Authorized Official Name and Position | David A Calef (SOLE PROPRIETOR) |
Authorized Official Contact | 7812450402 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Dutton Family Care Associates Llp 33 Avon St Wakefield MA 01880-2310 Ph: (781) 245-0402 | Dutton Family Care Associates Llp 33 Avon St Wakefield MA 01880-2310 Ph: (781) 245-0402 |
NPI Number | 1235163395 |
---|---|
Provider Enumeration Date | 07/11/2006 |
Last Update Date | 04/13/2021 |
Medicare PECOS PAC ID | 7719288679 |
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Medicare Enrollment ID | O20151217001711 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235163395 | NPI | - | NPPES |
2049317 | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 40277 (Massachusetts) | Primary |
Provider Name | David A Calef |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1215067913 PECOS PAC ID: 4880612928 Enrollment ID: I20051107000720 |
Provider Name | Benjamin M Calef |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1851730188 PECOS PAC ID: 6002114923 Enrollment ID: I20180409002377 |
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