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211 Quincy St Brockton MA 02302-2926 | |
| (781) 573-3977 | |
| (781) 573-3955 |
| Full Name | |
|---|---|
| Speciality | Family Medicine - Addiction Medicine |
| Location | 211 Quincy St, Brockton, Massachusetts |
| Authorized Official Name and Position | Hong Truong (OWNER) |
| Authorized Official Contact | 7815733977 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
211 Quincy St Brockton MA 02302-2926 Ph: (781) 573-3977 | 211 Quincy St Brockton MA 02302-2926 Ph: (781) 573-3977 |
| NPI Number | 1336602200 |
|---|---|
| Provider Enumeration Date | 04/09/2019 |
| Last Update Date | 01/22/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336602200 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207QA0401X | Family Medicine - Addiction Medicine | (* (Not Available)) | Primary |
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