Elm Tree Clinic, Llc | |
12 Wood St Lowell MA 01851-1532 | |
(617) 354-3555 | |
(617) 481-4655 |
Full Name | Elm Tree Clinic, Llc |
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Speciality | Internal Medicine |
Location | 12 Wood St, Lowell, Massachusetts |
Authorized Official Name and Position | Victor V Torosyan (MEMBER) |
Authorized Official Contact | 7813543555 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Elm Tree Clinic, Llc 11 Dexter Ave Watertown MA 02472-4105 Ph: (617) 354-3555 | Elm Tree Clinic, Llc 12 Wood St Lowell MA 01851-1532 Ph: (617) 354-3555 |
NPI Number | 1538609904 |
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Provider Enumeration Date | 03/03/2017 |
Last Update Date | 03/03/2017 |
Medicare PECOS PAC ID | 7517203300 |
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Medicare Enrollment ID | O20190116000758 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538609904 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | David S Chapin |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1235177528 PECOS PAC ID: 7810896149 Enrollment ID: I20040107000027 |
Provider Name | Khalid Mohamed |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1427086719 PECOS PAC ID: 7719959204 Enrollment ID: I20040805001711 |
Provider Name | Seema Gupta |
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Provider Type | Practitioner - Addiction Medicine |
Provider Identifiers | NPI Number: 1932232857 PECOS PAC ID: 4284750647 Enrollment ID: I20100923000554 |
Provider Name | Lawrence Litman |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1518101948 PECOS PAC ID: 8527232362 Enrollment ID: I20111114000412 |
Provider Name | Bradford Lewis |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1588827430 PECOS PAC ID: 0042477432 Enrollment ID: I20120625000625 |
Provider Name | Eva S Connelly |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558609016 PECOS PAC ID: 5496072712 Enrollment ID: I20150326000521 |
Provider Name | Igor Stavitsky |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1023094471 PECOS PAC ID: 0941598304 Enrollment ID: I20161018001222 |
Provider Name | Loudelyne Petit |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467977082 PECOS PAC ID: 2860744505 Enrollment ID: I20181009000529 |
Provider Name | Chinyere Mmaku Ofurum Ononiwu |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023575081 PECOS PAC ID: 6507194594 Enrollment ID: I20190829001115 |
Provider Name | Michelle Marie Jean-baptiste |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1174872857 PECOS PAC ID: 7618206616 Enrollment ID: I20190916002676 |
Provider Name | Michael Patrick Macdonald |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124597588 PECOS PAC ID: 4082047394 Enrollment ID: I20191127000340 |
Provider Name | Vitor Cardoso |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255723664 PECOS PAC ID: 0042643181 Enrollment ID: I20191204001360 |
Provider Name | Jermaine Dario Okang Thomas |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104471416 PECOS PAC ID: 5890129134 Enrollment ID: I20191219002675 |
Provider Name | Hilda Adaeze Epelle |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083258875 PECOS PAC ID: 5092139030 Enrollment ID: I20200722003642 |
Provider Name | Elizabeth W. Morrison |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821193269 PECOS PAC ID: 5991845638 Enrollment ID: I20210405001462 |
Provider Name | Sandra Bellerice |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831496157 PECOS PAC ID: 4385014265 Enrollment ID: I20230111000272 |
Provider Name | Aminatu Kasali-adeyemi |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821572702 PECOS PAC ID: 0143692053 Enrollment ID: I20230202000167 |
Provider Name | Maureen Mcmahon |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1871879957 PECOS PAC ID: 3577908862 Enrollment ID: I20240227000113 |
Mill City Medical Group Ltd Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 45 Palmer Street, Lowell, MA 01852 Phone: 978-970-1607 Fax: 978-970-1115 | |
Rite Aid Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 121 Church St, Lowell, MA 01852 Phone: 978-937-0030 | |
Radiant Minds Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 21 George St Ste 203, Lowell, MA 01852 Phone: 978-216-0381 | |
Peter S. Bradshaw M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 77 E Merrimack St, Suite 15, Lowell, MA 01852 Phone: 978-459-3341 Fax: 978-459-5344 | |
Lgh Medical Group, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 295 Varnum Ave, Lowell, MA 01854 Phone: 978-788-7218 Fax: 978-937-6850 | |
Andrew M. Romanowsky Md Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 33 Bartlett St Ste 206, Lowell, MA 01852 Phone: 978-458-1293 Fax: 978-458-6953 | |
Mass Medical Group, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 200 Central St, Suite #2, Lowell, MA 01852 Phone: 978-446-7982 Fax: 866-897-3951 |