Healthy Concept Family Practice, Llc | |
118 Main St Suite #3 Sturbridge MA 01566-1533 | |
(774) 241-0450 | |
(774) 241-0583 |
Full Name | Healthy Concept Family Practice, Llc |
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Speciality | Clinic/Center |
Location | 118 Main St, Sturbridge, Massachusetts |
Authorized Official Name and Position | Junjie Fang (OWNER) |
Authorized Official Contact | 7742410450 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Healthy Concept Family Practice, Llc 2 Old Brook Cir Sturbridge MA 01566-2327 Ph: (774) 241-0450 | Healthy Concept Family Practice, Llc 118 Main St Suite #3 Sturbridge MA 01566-1533 Ph: (774) 241-0450 |
NPI Number | 1861752271 |
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Provider Enumeration Date | 05/18/2012 |
Last Update Date | 04/09/2013 |
Medicare PECOS PAC ID | 8224285317 |
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Medicare Enrollment ID | O20120824000191 |
Identifier | Type | State | Issuer |
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1861752271 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | 238587 (Massachusetts) | Primary |
Provider Name | Junjie Fang |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1932247061 PECOS PAC ID: 4981791696 Enrollment ID: I20090428000123 |
Village Nutrition Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 511 Main St, Sturbridge, MA 01518 Phone: 413-214-2233 |