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55 Bartlett St Lowell MA 01852-1322 | |
| (978) 275-1913 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 55 Bartlett St, Lowell, Massachusetts |
| Authorized Official Name and Position | Susan Green (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 9787887143 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1 Hospital Drive 2nd Floor Residence Building Lowell MA 01852-1322 Ph: (978) 458-1411 | 55 Bartlett St Lowell MA 01852-1322 Ph: (978) 275-1913 |
| NPI Number | 1972596146 |
|---|---|
| Provider Enumeration Date | 08/23/2005 |
| Last Update Date | 06/30/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972596146 | NPI | - | NPPES |
| 9771298 | Medicaid | MA |
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