| Lowell Family Medical Care Pc | |
|
33 Bartlett St Ste 204 Lowell MA 01852-1317 | |
| (978) 453-0550 | |
| (978) 453-0553 |
| Full Name | Lowell Family Medical Care Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 33 Bartlett St Ste 204, Lowell, Massachusetts |
| Authorized Official Name and Position | John N Grieveson (OWNER) |
| Authorized Official Contact | 9784530550 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lowell Family Medical Care Pc 33 Bartlett St Ste 204 Lowell MA 01852-1317 Ph: (978) 453-0550 | Lowell Family Medical Care Pc 33 Bartlett St Ste 204 Lowell MA 01852-1317 Ph: (978) 453-0550 |
| NPI Number | 1871720086 |
|---|---|
| Provider Enumeration Date | 06/15/2009 |
| Last Update Date | 12/11/2023 |
| Medicare PECOS PAC ID | 1557407269 |
|---|---|
| Medicare Enrollment ID | O20091012000120 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871720086 | NPI | - | NPPES |
| 3159213 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 151494 (Massachusetts) | Primary |
| Provider Name | John N Grieveson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326018813 PECOS PAC ID: 5395811137 Enrollment ID: I20080903000048 |
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