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50 Memorial Drive Suite 108 Leominster MA 01453 | |
(978) 466-2277 | |
(978) 466-2282 |
Full Name | |
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Speciality | Internal Medicine |
Location | 50 Memorial Drive, Leominster, Massachusetts |
Authorized Official Name and Position | Kimberly Ebb (OWNER PHYSICIAN) |
Authorized Official Contact | 9784662277 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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50 Memorial Drive Suite 108 Leominster MA 01453 Ph: (978) 466-2277 | 50 Memorial Drive Suite 108 Leominster MA 01453 Ph: (978) 466-2277 |
NPI Number | 1255470571 |
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Provider Enumeration Date | 02/05/2007 |
Last Update Date | 09/18/2007 |
Identifier | Type | State | Issuer |
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1255470571 | NPI | - | NPPES |
3174671 | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | 151001 (Massachusetts) | Primary |
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