| Landmark Medical Of Connecticut Pc | |
|
1400 Computer Dr Ste 301 Westborough MA 01581-1790 | |
| (657) 400-5180 | |
| Not Available |
| Full Name | Landmark Medical Of Connecticut Pc |
|---|---|
| Speciality | General Practice |
| Location | 1400 Computer Dr Ste 301, Westborough, Massachusetts |
| Authorized Official Name and Position | Christopher Dennis (CHIEF BH OFFICER) |
| Authorized Official Contact | 6574005180 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Landmark Medical Of Connecticut Pc 7755 Center Ave Ste 630 Huntington Beach CA 92647-9152 Ph: () - | Landmark Medical Of Connecticut Pc 1400 Computer Dr Ste 301 Westborough MA 01581-1790 Ph: (657) 400-5180 |
| NPI Number | 1245813419 |
|---|---|
| Provider Enumeration Date | 05/04/2021 |
| Last Update Date | 01/30/2024 |
| Medicare PECOS PAC ID | 0547667792 |
|---|---|
| Medicare Enrollment ID | O20210930001652 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245813419 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Mandy A Wainscoat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639156342 PECOS PAC ID: 2062479371 Enrollment ID: I20041217000252 |
| Provider Name | Gail Labadia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649202144 PECOS PAC ID: 5991700395 Enrollment ID: I20060918000372 |
| Provider Name | Amy N Kaiser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477001055 PECOS PAC ID: 6901194794 Enrollment ID: I20230914002468 |
Landmark Medical Of Massachusetts Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1400 Computer Dr Ste 301, Westborough, MA 01581 Phone: 617-420-5316 | |
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