Mark H. Abensohn, M.d., L.l.c. | |
266 Main St Unit 4 Medfield MA 02052-2043 | |
(508) 359-8141 | |
(508) 359-8005 |
Full Name | Mark H. Abensohn, M.d., L.l.c. |
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Speciality | Internal Medicine |
Location | 266 Main St, Medfield, Massachusetts |
Authorized Official Name and Position | Mark Howard Abensohn (OWNER) |
Authorized Official Contact | 5083598141 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mark H. Abensohn, M.d., L.l.c. Po Box 469 Medfield MA 02052-0469 Ph: (508) 359-8141 | Mark H. Abensohn, M.d., L.l.c. 266 Main St Unit 4 Medfield MA 02052-2043 Ph: (508) 359-8141 |
NPI Number | 1326137704 |
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Provider Enumeration Date | 10/12/2006 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 9931109485 |
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Medicare Enrollment ID | O20070105000381 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326137704 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 56322, 157592 (Massachusetts) | Primary |
Provider Name | Mark H Abensohn |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1225005465 PECOS PAC ID: 0345296356 Enrollment ID: I20050323000491 |
Provider Name | Jennifer T Phan |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538443460 PECOS PAC ID: 5092982389 Enrollment ID: I20120127000613 |
Provider Name | Russell Kling |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1497168983 PECOS PAC ID: 7719258334 Enrollment ID: I20230324000110 |
Medfield Internal Medicine, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 266 Main St Ste 4, Medfield, MA 02052 Phone: 508-359-8141 Fax: 508-359-8005 |