| Imedical365 Inc | |
|
249 W Main St Avon MA 02322-1330 | |
| (508) 326-0493 | |
| Not Available |
| Full Name | Imedical365 Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 249 W Main St, Avon, Massachusetts |
| Authorized Official Name and Position | Joel Clerville (PRESIDENT) |
| Authorized Official Contact | 5083260496 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Imedical365 Inc Po Box 1911 Brockton MA 02303-1911 Ph: (508) 326-0496 | Imedical365 Inc 249 W Main St Avon MA 02322-1330 Ph: (508) 326-0493 |
| NPI Number | 1760074256 |
|---|---|
| Provider Enumeration Date | 02/07/2021 |
| Last Update Date | 03/17/2021 |
| Medicare PECOS PAC ID | 1557778529 |
|---|---|
| Medicare Enrollment ID | O20210319000213 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760074256 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Sameh A Mesallum |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952360414 PECOS PAC ID: 9830144914 Enrollment ID: I20050322000591 |
| Provider Name | Marie-helene Almonor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972661064 PECOS PAC ID: 6103832365 Enrollment ID: I20140523000566 |
| Provider Name | Joel Clerville |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437702719 PECOS PAC ID: 4284060112 Enrollment ID: I20200212000991 |
Joseph D. Emma, M.d. & Associates, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 21 E Main St, Avon, MA 02322 Phone: 508-586-1046 Fax: 508-580-1116 |