| Renaissance Family Medicine Of Wellesley Llc | |
|
332 Washington Street 200 Wellesley MA 02481-6217 | |
| (781) 235-4088 | |
| Not Available |
| Full Name | Renaissance Family Medicine Of Wellesley Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 332 Washington Street, Wellesley, Massachusetts |
| Authorized Official Name and Position | Geoffrey M Burns (SOLE PROPRIETOR) |
| Authorized Official Contact | 7812354088 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Renaissance Family Medicine Of Wellesley Llc 332 Washington Street 200 Wellesley MA 02481-6217 Ph: (781) 235-4088 | Renaissance Family Medicine Of Wellesley Llc 332 Washington Street 200 Wellesley MA 02481-6217 Ph: (781) 235-4088 |
| NPI Number | 1962826354 |
|---|---|
| Provider Enumeration Date | 02/06/2014 |
| Last Update Date | 02/14/2024 |
| Medicare PECOS PAC ID | 5395978431 |
|---|---|
| Medicare Enrollment ID | O20140425001119 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962826354 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 155576 (Massachusetts) | Primary |
| Provider Name | Geoffrey M Burns |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700873130 PECOS PAC ID: 5294797627 Enrollment ID: I20041028000714 |
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