Jraphe P.c. | |
4 Church St Middleton MA 01949-1758 | |
(443) 564-0380 | |
(781) 872-1294 |
Full Name | Jraphe P.c. |
---|---|
Speciality | Hospitalist |
Location | 4 Church St, Middleton, Massachusetts |
Authorized Official Name and Position | Chieke O Udom (PRESIDENT) |
Authorized Official Contact | 4435640380 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Jraphe P.c. 4 Church St Middleton MA 01949-1758 Ph: (443) 564-0380 | Jraphe P.c. 4 Church St Middleton MA 01949-1758 Ph: (443) 564-0380 |
NPI Number | 1083072599 |
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Provider Enumeration Date | 01/29/2016 |
Last Update Date | 01/29/2016 |
Medicare PECOS PAC ID | 8325346695 |
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Medicare Enrollment ID | O20160420000651 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083072599 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
208M00000X | Hospitalist | (* (Not Available)) | Primary |
Provider Name | Faisal Malik |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1912106691 PECOS PAC ID: 3870649304 Enrollment ID: I20090924000075 |
Provider Name | Chieke Udom |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1023249406 PECOS PAC ID: 9537333216 Enrollment ID: I20111115000020 |
Provider Name | Akindele Majekodunmi |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1447411764 PECOS PAC ID: 9436325560 Enrollment ID: I20111220000571 |
Provider Name | Mary Njonjo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245400142 PECOS PAC ID: 5890910798 Enrollment ID: I20140709002190 |
Provider Name | Brook Ann Donovan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538696810 PECOS PAC ID: 0244594000 Enrollment ID: I20180502000248 |
Provider Name | Thamara Jonathas |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750894275 PECOS PAC ID: 8224386701 Enrollment ID: I20180731000809 |
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