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74 Taunton St Plainville MA 02762-2166 | |
| (508) 699-7015 | |
| (508) 699-7298 |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 74 Taunton St, Plainville, Massachusetts |
| Authorized Official Name and Position | Linda Shyavitz (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5082368000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
74 Taunton St Plainville MA 02762-2166 Ph: (508) 699-7015 | 74 Taunton St Plainville MA 02762-2166 Ph: (508) 699-7015 |
| NPI Number | 1801812052 |
|---|---|
| Provider Enumeration Date | 07/14/2006 |
| Last Update Date | 03/13/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801812052 | NPI | - | NPPES |
| 43245 | Other | MA | FALLON |
| 9778829 | Medicaid | MA | |
| 684905 | Other | MA | TUFTS |
| M17332 | Other | MA | MABC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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