| Modern Care Medical Group, Llc | |
|
1075 Westford St Suite 204 Lowell MA 01851-2716 | |
| (978) 452-2000 | |
| (978) 452-2001 |
| Full Name | Modern Care Medical Group, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1075 Westford St, Lowell, Massachusetts |
| Authorized Official Name and Position | Steve Hardie (PRACTICE OPERATIONS MANAGER) |
| Authorized Official Contact | 9784522000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Modern Care Medical Group, Llc 1075 Westford St Suite 204 Lowell MA 01851-2716 Ph: (978) 452-2000 | Modern Care Medical Group, Llc 1075 Westford St Suite 204 Lowell MA 01851-2716 Ph: (978) 452-2000 |
| NPI Number | 1235411901 |
|---|---|
| Provider Enumeration Date | 09/19/2011 |
| Last Update Date | 05/24/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235411901 | NPI | - | NPPES |
| 0025815 | Other | MA | MEDICARE GROUP PTAN |
| 002581601 | Other | MA | MEDICARE PROVIDER PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 243604 (Massachusetts) | Primary |
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