| I Dhaliwal Md Pc | |
|
24 Common St Suite 3 Wrentham MA 02093-1399 | |
| (508) 384-1821 | |
| (508) 384-0253 |
| Full Name | I Dhaliwal Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 24 Common St, Wrentham, Massachusetts |
| Authorized Official Name and Position | Iqubal Dhaliwal (PRESIDENT) |
| Authorized Official Contact | 5083841821 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| I Dhaliwal Md Pc 24 Common St Suite 3 Wrentham MA 02093-1399 Ph: (508) 384-1821 | I Dhaliwal Md Pc 24 Common St Suite 3 Wrentham MA 02093-1399 Ph: (508) 384-1821 |
| NPI Number | 1699944942 |
|---|---|
| Provider Enumeration Date | 02/20/2008 |
| Last Update Date | 02/20/2008 |
| Medicare PECOS PAC ID | 3072698315 |
|---|---|
| Medicare Enrollment ID | O20080311000117 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699944942 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 52229 (Massachusetts) | Primary |
| Provider Name | Iqubal S Dhaliwal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770694556 PECOS PAC ID: 3173581105 Enrollment ID: I20041222000414 |
| Provider Name | Stephanie A Gill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003933268 PECOS PAC ID: 0042263436 Enrollment ID: I20050225000184 |
| Provider Name | Frew Fikru |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093341331 PECOS PAC ID: 0648688259 Enrollment ID: I20220329000601 |
Monica Lebre Nutrition Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 129 Hamilton Rd, Wrentham, MA 02093 Phone: 774-847-1576 |