| |
100 Commerce Dr Northbridge MA 01534 | |
(508) 372-3510 | |
(508) 234-2627 |
Full Name | |
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Speciality | Family Medicine |
Location | 100 Commerce Dr, Northbridge, Massachusetts |
Authorized Official Name and Position | Patrick R Mcsweeney (PRESIDENT) |
Authorized Official Contact | 5084731480 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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9 Industrial Rd Ste 5 Milford MA 01757-3736 Ph: (508) 473-1480 | 100 Commerce Dr Northbridge MA 01534 Ph: (508) 372-3510 |
NPI Number | 1386173300 |
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Provider Enumeration Date | 06/05/2017 |
Last Update Date | 09/30/2019 |
Medicare PECOS PAC ID | 5597679449 |
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Medicare Enrollment ID | O20171020000671 |
Identifier | Type | State | Issuer |
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1386173300 | NPI | - | NPPES |
110082161S | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |