New Boston Village Primary Care, P.c. | |
295 New Boston Rd Fall River MA 02720-5800 | |
(508) 674-9300 | |
Not Available |
Full Name | New Boston Village Primary Care, P.c. |
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Speciality | Internal Medicine |
Location | 295 New Boston Rd, Fall River, Massachusetts |
Authorized Official Name and Position | Nicole Mcdonald (PRESIDENT) |
Authorized Official Contact | 5086749300 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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New Boston Village Primary Care, P.c. 295 New Boston Rd Fall River MA 02720-5800 Ph: (508) 674-9300 | New Boston Village Primary Care, P.c. 295 New Boston Rd Fall River MA 02720-5800 Ph: (508) 674-9300 |
NPI Number | 1134289432 |
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Provider Enumeration Date | 12/11/2006 |
Last Update Date | 03/11/2022 |
Medicare PECOS PAC ID | 3971517699 |
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Medicare Enrollment ID | O20060202000270 |
Identifier | Type | State | Issuer |
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1134289432 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | 205748 (Massachusetts) | Primary |
Provider Name | Nicole Mcdonald |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1992744080 PECOS PAC ID: 1557336724 Enrollment ID: I20040831000962 |
Provider Name | Kevin Blanchard |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205995065 PECOS PAC ID: 2961505474 Enrollment ID: I20070321000063 |
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