| Principes Medical Group, Pllc | |
|
35 United Dr Ste 102 West Bridgewater MA 02379 | |
| (508) 238-8646 | |
| Not Available |
| Full Name | Principes Medical Group, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 35 United Dr Ste 102, West Bridgewater, Massachusetts |
| Authorized Official Name and Position | Essam Ansari (PRESIDENT) |
| Authorized Official Contact | 5082388646 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Principes Medical Group, Pllc 35 United Dr Ste 102 West Bridgewater MA 02379-1027 Ph: (508) 238-8646 | Principes Medical Group, Pllc 35 United Dr Ste 102 West Bridgewater MA 02379 Ph: (508) 238-8646 |
| NPI Number | 1386033264 |
|---|---|
| Provider Enumeration Date | 01/15/2015 |
| Last Update Date | 07/16/2018 |
| Medicare PECOS PAC ID | 4183942790 |
|---|---|
| Medicare Enrollment ID | O20150410001807 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386033264 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Essam Ansari |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1992812572 PECOS PAC ID: 6901821362 Enrollment ID: I20051014000042 |
| Provider Name | Marina Khait |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205266962 PECOS PAC ID: 7214287416 Enrollment ID: I20180910002056 |
Bridgewater Primary Care And Cardiology, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 711 W Center St, West Bridgewater, MA 02379 Phone: 508-583-1100 |