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 |
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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 |
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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 |
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Provider Enumeration Date | 05/11/2022 |
Last Update Date | 05/11/2022 |
Medicare PECOS PAC ID | 5991187775 |
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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 |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750361713 PECOS PAC ID: 8325052863 Enrollment ID: I20060203000320 |
Provider Name | Stephen T Gagliardi |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1831179894 PECOS PAC ID: 3274541370 Enrollment ID: I20060331000251 |
Provider Name | Jason J Diogo |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1861559429 PECOS PAC ID: 3375619539 Enrollment ID: I20080911000692 |
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