| Integrative Family Medicine Associates | |
|
529 Main St Ste B Acton MA 01720-3934 | |
| (978) 635-1800 | |
| Not Available |
| Full Name | Integrative Family Medicine Associates |
|---|---|
| Speciality | Family Medicine |
| Location | 529 Main St Ste B, Acton, Massachusetts |
| Authorized Official Name and Position | Kavitha Gazula (PHYSICIAN) |
| Authorized Official Contact | 9786351800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrative Family Medicine Associates 529 Main St Ste B Acton MA 01720-3965 Ph: (978) 635-1800 | Integrative Family Medicine Associates 529 Main St Ste B Acton MA 01720-3934 Ph: (978) 635-1800 |
| NPI Number | 1063820413 |
|---|---|
| Provider Enumeration Date | 07/30/2014 |
| Last Update Date | 02/19/2020 |
| Medicare PECOS PAC ID | 7719108281 |
|---|---|
| Medicare Enrollment ID | O20141027000645 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063820413 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207V00000X | Obstetrics & Gynecology | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
| Provider Name | Kavitha Gazula |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710965074 PECOS PAC ID: 2567456387 Enrollment ID: I20040413001484 |
| Provider Name | Chandler D Charette |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700345980 PECOS PAC ID: 0446586762 Enrollment ID: I20230511003301 |
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