Primary Care North Pc | |
225 Boston St Suite 204 Lynn MA 01904-3137 | |
(781) 595-9581 | |
(781) 595-9628 |
Full Name | Primary Care North Pc |
---|---|
Speciality | Internal Medicine |
Location | 225 Boston St, Lynn, Massachusetts |
Authorized Official Name and Position | Walter J Nalesnik (OWNER) |
Authorized Official Contact | 7815959581 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Primary Care North Pc 225 Boston St Suite 204 Lynn MA 01904-3137 Ph: (781) 595-9581 | Primary Care North Pc 225 Boston St Suite 204 Lynn MA 01904-3137 Ph: (781) 595-9581 |
NPI Number | 1649392416 |
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Provider Enumeration Date | 04/04/2007 |
Last Update Date | 12/30/2021 |
Medicare PECOS PAC ID | 0143263483 |
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Medicare Enrollment ID | O20050607000920 |
Identifier | Type | State | Issuer |
---|---|---|---|
1649392416 | NPI | - | NPPES |
B1002301 | Other | MD | CIGNA |
703505 | Other | MD | TUFTS |
80744 | Other | MA | FALLON |
9705121 | Medicaid | MA | |
J04507 | Other | MA | BCBS |
9037 | Other | MA | US HEALTH |
65494 | Other | MA | HPHC |
0400048 | Other | MD | UNITED |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 53680 (Massachusetts) | Primary |
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
Provider Name | Walter Nalesnik |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1376616029 PECOS PAC ID: 4385690890 Enrollment ID: I20050329000052 |
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