| Merrimack Valley Internal Medicine Associates, Pc | |
|
20 Research Pl Suite 310 N Chelmsford MA 01863-2454 | |
| (978) 459-2152 | |
| (978) 452-7285 |
| Full Name | Merrimack Valley Internal Medicine Associates, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 20 Research Pl, N Chelmsford, Massachusetts |
| Authorized Official Name and Position | Philip J Tavano (PRESIDENT) |
| Authorized Official Contact | 9784592152 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Merrimack Valley Internal Medicine Associates, Pc 20 Research Pl Suite 310 N Chelmsford MA 01863-2454 Ph: (978) 459-2152 | Merrimack Valley Internal Medicine Associates, Pc 20 Research Pl Suite 310 N Chelmsford MA 01863-2454 Ph: (978) 459-2152 |
| NPI Number | 1801809967 |
|---|---|
| Provider Enumeration Date | 08/13/2006 |
| Last Update Date | 04/10/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801809967 | NPI | - | NPPES |
| PHM13259 | Other | MA | BLUE SHIELD OF MA |
| 1043245145 | Other | NPI | |
| 00-00760 | Other | MA | EVERCARE |
| 1205861390 | Other | NPI | |
| 702916 | Other | MA | TUFTS HEALTH PLAN |
| 9719741 | Medicaid | MA | |
| 1710919238 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 42398 (Massachusetts) | Primary |
Igc Iv Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 20 Research Pl Ste 220, N Chelmsford, MA 01863 Phone: 978-459-6737 Fax: 855-818-1869 |