Primary Care Clinic Boston Pc | |
2100 Dorchester Ave Bldg Suite314 Dorchester MA 02124-5615 | |
(617) 296-0720 | |
(617) 296-5166 |
Full Name | Primary Care Clinic Boston Pc |
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Speciality | Family Medicine |
Location | 2100 Dorchester Ave Bldg Suite314, Dorchester, Massachusetts |
Authorized Official Name and Position | Ankur A Patel (OWNER) |
Authorized Official Contact | 6178755681 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Primary Care Clinic Boston Pc 16 Honeysuckle Ln Hanover MA 02339-3113 Ph: (617) 875-5681 | Primary Care Clinic Boston Pc 2100 Dorchester Ave Bldg Suite314 Dorchester MA 02124-5615 Ph: (617) 296-0720 |
NPI Number | 1316452329 |
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Provider Enumeration Date | 12/13/2017 |
Last Update Date | 09/24/2018 |
Medicare PECOS PAC ID | 7113288598 |
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Medicare Enrollment ID | O20180227002152 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316452329 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Ankur A Patel |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1932580495 PECOS PAC ID: 2062725989 Enrollment ID: I20180227002338 |
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