| Massachusetts Integrated Care | |
|
108 Grove St Ste 22 Worcester MA 01605-2651 | |
| (774) 275-0509 | |
| (508) 753-3224 |
| Full Name | Massachusetts Integrated Care |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 108 Grove St Ste 22, Worcester, Massachusetts |
| Authorized Official Name and Position | Adam Och (COO/CFO) |
| Authorized Official Contact | 7742750509 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Massachusetts Integrated Care 108 Grove St Ste 22 Worcester MA 01605-2651 Ph: (774) 275-0509 | Massachusetts Integrated Care 108 Grove St Ste 22 Worcester MA 01605-2651 Ph: (774) 275-0509 |
| NPI Number | 1992199830 |
|---|---|
| Provider Enumeration Date | 03/27/2015 |
| Last Update Date | 03/27/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992199830 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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