| Inner Healing Medical Pllc | |
|
465 Waverley Oaks Rd Ste 201 Waltham MA 02452-8489 | |
| (781) 614-7800 | |
| Not Available |
| Full Name | Inner Healing Medical Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 465 Waverley Oaks Rd Ste 201, Waltham, Massachusetts |
| Authorized Official Name and Position | Sara Raimundo (VP OF OPERATIONS AND MEMBER SERVICE) |
| Authorized Official Contact | 7816147800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Inner Healing Medical Pllc 33 Moon Hill Rd Lexington MA 02421-6112 Ph: (781) 614-7800 | Inner Healing Medical Pllc 465 Waverley Oaks Rd Ste 201 Waltham MA 02452-8489 Ph: (781) 614-7800 |
| NPI Number | 1700566635 |
|---|---|
| Provider Enumeration Date | 07/25/2023 |
| Last Update Date | 10/20/2023 |
| Medicare PECOS PAC ID | 1456707538 |
|---|---|
| Medicare Enrollment ID | O20231025002801 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700566635 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Marianela Lavena |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760647770 PECOS PAC ID: 2769642172 Enrollment ID: I20171201000678 |
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