| Le & Chang Family Urgent Care Pc | |
|
456 Park Ave Worcester MA 01610-1227 | |
| (508) 685-1517 | |
| (508) 877-0596 |
| Full Name | Le & Chang Family Urgent Care Pc |
|---|---|
| Speciality | General Practice |
| Location | 456 Park Ave, Worcester, Massachusetts |
| Authorized Official Name and Position | Quang Phong Le (PRESIDENT) |
| Authorized Official Contact | 5086851517 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Le & Chang Family Urgent Care Pc 569 Water St Framingham MA 01701-7651 Ph: (508) 494-6634 | Le & Chang Family Urgent Care Pc 456 Park Ave Worcester MA 01610-1227 Ph: (508) 685-1517 |
| NPI Number | 1902066574 |
|---|---|
| Provider Enumeration Date | 06/16/2008 |
| Last Update Date | 06/16/2008 |
| Medicare PECOS PAC ID | 9830264340 |
|---|---|
| Medicare Enrollment ID | O20080819000135 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902066574 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 221724 (Massachusetts) | Primary |
| Provider Name | Quang P Le |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578665998 PECOS PAC ID: 8224198551 Enrollment ID: I20081117000601 |
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