| Longfellow Primary Care, Pc | |
|
625 Mount Auburn St Suite 101a Cambridge MA 02138-4555 | |
| (617) 492-4545 | |
| (617) 492-4559 |
| Full Name | Longfellow Primary Care, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 625 Mount Auburn St, Cambridge, Massachusetts |
| Authorized Official Name and Position | Rachel Haft (PRESIDENT) |
| Authorized Official Contact | 6174924545 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Longfellow Primary Care, Pc 625 Mount Auburn St Suite 101a Cambridge MA 02138-4555 Ph: (617) 492-4545 | Longfellow Primary Care, Pc 625 Mount Auburn St Suite 101a Cambridge MA 02138-4555 Ph: (617) 492-4545 |
| NPI Number | 1902001886 |
|---|---|
| Provider Enumeration Date | 06/19/2007 |
| Last Update Date | 03/16/2015 |
| Medicare PECOS PAC ID | 4880782929 |
|---|---|
| Medicare Enrollment ID | O20080508000281 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902001886 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | 70493 (Massachusetts) | Primary |
| Provider Name | Rachel F Haft |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720079536 PECOS PAC ID: 1355324567 Enrollment ID: I20040609000966 |
| Provider Name | Addie F Day |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104251602 PECOS PAC ID: 5092944918 Enrollment ID: I20140218001122 |
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