| Merrimack Family Medicine Pc | |
|
170 Main Street Suite 606 Tewksbury MA 01876 | |
| (978) 851-4141 | |
| Not Available |
| Full Name | Merrimack Family Medicine Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 170 Main Street, Tewksbury, Massachusetts |
| Authorized Official Name and Position | Donald H Miller (PRESIDENT) |
| Authorized Official Contact | 9788514141 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Merrimack Family Medicine Pc 170 Main Street Suite 606 Tewksbury MA 01876 Ph: (978) 851-4141 | Merrimack Family Medicine Pc 170 Main Street Suite 606 Tewksbury MA 01876 Ph: (978) 851-4141 |
| NPI Number | 1033392022 |
|---|---|
| Provider Enumeration Date | 12/12/2007 |
| Last Update Date | 12/12/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033392022 | NPI | - | NPPES |
| 9763473 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 49826 (Massachusetts) | Primary |
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