| |
47 Middlesex Tpke Burlington MA 01803-4945 | |
(781) 653-0100 | |
Not Available |
Full Name | |
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Speciality | Internal Medicine |
Location | 47 Middlesex Tpke, Burlington, Massachusetts |
Authorized Official Name and Position | David P Connolly (CFO, SR. VP ADMINISTRATION, & TREAS) |
Authorized Official Contact | 8572822028 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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399 Revolution Dr Ste 1010 Somerville MA 02145-1444 Ph: (857) 282-7643 | 47 Middlesex Tpke Burlington MA 01803-4945 Ph: (781) 653-0100 |
NPI Number | 1639773039 |
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Provider Enumeration Date | 11/25/2020 |
Last Update Date | 09/20/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639773039 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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