Mayflower Medical Associates Pc | |
45 Resnik Rd Suite 202 Plymouth MA 02360 | |
(508) 746-0754 | |
(508) 747-7867 |
Full Name | Mayflower Medical Associates Pc |
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Speciality | Internal Medicine |
Location | 45 Resnik Rd, Plymouth, Massachusetts |
Authorized Official Name and Position | Eric E Johnson (PRESIDENT) |
Authorized Official Contact | 5087460754 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mayflower Medical Associates Pc 45 Resnik Rd Suite 202 Plymouth MA 02360 Ph: (508) 746-0754 | Mayflower Medical Associates Pc 45 Resnik Rd Suite 202 Plymouth MA 02360 Ph: (508) 746-0754 |
NPI Number | 1407950769 |
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Provider Enumeration Date | 09/08/2006 |
Last Update Date | 08/20/2013 |
Medicare PECOS PAC ID | 7618956723 |
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Medicare Enrollment ID | O20040714000219 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407950769 | NPI | - | NPPES |
683458 | Other | TUFTS | |
69586 | Other | HPHC | |
9786503 | Medicaid | MA | |
M17333 | Other | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Sushil K Singh |
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Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1912955022 PECOS PAC ID: 4082681044 Enrollment ID: I20040910000699 |
Provider Name | Ryan P Brogan |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518476498 PECOS PAC ID: 8022378827 Enrollment ID: I20180215000815 |
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