| Personalized Medical Care Llc | |
|
200 Boylston St Suite 311 Chestnut Hill MA 02467-2012 | |
| (617) 529-8041 | |
| Not Available |
| Full Name | Personalized Medical Care Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 200 Boylston St, Chestnut Hill, Massachusetts |
| Authorized Official Name and Position | Lawrence Starr (OWNER) |
| Authorized Official Contact | 6175298041 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Personalized Medical Care Llc 200 Boylston St Suite 311 Chestnut Hill MA 02467-2012 Ph: (617) 529-8041 | Personalized Medical Care Llc 200 Boylston St Suite 311 Chestnut Hill MA 02467-2012 Ph: (617) 529-8041 |
| NPI Number | 1891118873 |
|---|---|
| Provider Enumeration Date | 01/28/2014 |
| Last Update Date | 02/13/2014 |
| Medicare PECOS PAC ID | 5799909693 |
|---|---|
| Medicare Enrollment ID | O20140616002221 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891118873 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 48001 (Massachusetts) | Primary |
| Provider Name | Lawrence A Starr |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942258850 PECOS PAC ID: 9830154400 Enrollment ID: I20041123000267 |
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