| Quincy Primary Healthcare Pc | |
|
300 Congress St Ste 203 Quincy MA 02169-0907 | |
| (617) 481-1771 | |
| Not Available |
| Full Name | Quincy Primary Healthcare Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 300 Congress St Ste 203, Quincy, Massachusetts |
| Authorized Official Name and Position | Yan Tan (PRESIDENT) |
| Authorized Official Contact | 3474292722 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Quincy Primary Healthcare Pc 33 Pond Ave Apt 708 Brookline MA 02445-7156 Ph: () - | Quincy Primary Healthcare Pc 300 Congress St Ste 203 Quincy MA 02169-0907 Ph: (617) 481-1771 |
| NPI Number | 1720597537 |
|---|---|
| Provider Enumeration Date | 09/25/2017 |
| Last Update Date | 12/19/2019 |
| Medicare PECOS PAC ID | 4183980220 |
|---|---|
| Medicare Enrollment ID | O20171107000564 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720597537 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Yan Tan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275819179 PECOS PAC ID: 8224272356 Enrollment ID: I20130911000657 |
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