| |
50 Memorial Dr Suite 210 Leominster MA 01453-2238 | |
(978) 466-2339 | |
(978) 466-2430 |
Full Name | |
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Speciality | Internal Medicine |
Location | 50 Memorial Dr, Leominster, Massachusetts |
Authorized Official Name and Position | Michael Cofone (CFO) |
Authorized Official Contact | 9784662185 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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50 Memorial Dr Suite 210 Leominster MA 01453-2238 Ph: (978) 466-2339 | 50 Memorial Dr Suite 210 Leominster MA 01453-2238 Ph: (978) 466-2339 |
NPI Number | 1003031634 |
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Provider Enumeration Date | 04/17/2007 |
Last Update Date | 11/14/2007 |
Identifier | Type | State | Issuer |
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1003031634 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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