London Medical Group, Llc | |
17 Oak St Needham MA 02492-2470 | |
(781) 559-0540 | |
Not Available |
Full Name | London Medical Group, Llc |
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Speciality | Internal Medicine |
Location | 17 Oak St, Needham, Massachusetts |
Authorized Official Name and Position | Diane London (PRESIDENT) |
Authorized Official Contact | 6172778770 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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London Medical Group, Llc Po Box 187 Dover MA 02030-0187 Ph: (508) 785-0899 | London Medical Group, Llc 17 Oak St Needham MA 02492-2470 Ph: (781) 559-0540 |
NPI Number | 1609026871 |
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Provider Enumeration Date | 09/24/2008 |
Last Update Date | 08/31/2009 |
Medicare PECOS PAC ID | 5294895918 |
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Medicare Enrollment ID | O20081125000260 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609026871 | NPI | - | NPPES |
9742191 | Medicaid | MA | |
M19587 | Other | MA | BCBS |
1609026871 | Other | MA | TUFTS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (Massachusetts) | Primary |
Provider Name | Diane M London |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1629017710 PECOS PAC ID: 8224088968 Enrollment ID: I20050131000166 |
Elizabeth H. Handel, M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1410 Highland Ave, Needham, MA 02492 Phone: 781-444-3044 Fax: 781-444-3165 | |
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