| Highland Primary Care Group | |
|
1151 Robeson St Ste 201 Fall River MA 02720-5566 | |
| (508) 730-1666 | |
| (508) 646-7119 |
| Full Name | Highland Primary Care Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 1151 Robeson St Ste 201, Fall River, Massachusetts |
| Authorized Official Name and Position | Stephen Gagliardi (PRESIDENT) |
| Authorized Official Contact | 5087301666 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Highland Primary Care Group 1151 Robeson St Ste 201 Fall River MA 02720-5566 Ph: (508) 730-1666 | Highland Primary Care Group 1151 Robeson St Ste 201 Fall River MA 02720-5566 Ph: (508) 730-1666 |
| NPI Number | 1821734815 |
|---|---|
| Provider Enumeration Date | 05/11/2022 |
| Last Update Date | 05/11/2022 |
| Medicare PECOS PAC ID | 5991187775 |
|---|---|
| Medicare Enrollment ID | O20220727001851 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821734815 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Jeanne B Larock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750361713 PECOS PAC ID: 8325052863 Enrollment ID: I20060203000320 |
| Provider Name | Stephen T Gagliardi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831179894 PECOS PAC ID: 3274541370 Enrollment ID: I20060331000251 |
| Provider Name | Jason J Diogo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861559429 PECOS PAC ID: 3375619539 Enrollment ID: I20080911000692 |
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