| Resil Medical Associates Pc | |
|
2110 Dorchester Ave Seton Medical Building, Suite 205 Dorchester MA 02124-5628 | |
| (617) 298-8304 | |
| (617) 298-8300 |
| Full Name | Resil Medical Associates Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2110 Dorchester Ave, Dorchester, Massachusetts |
| Authorized Official Name and Position | Claude Resil (PRESIDENT) |
| Authorized Official Contact | 6172988304 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Resil Medical Associates Pc Po Box 366251 Hyde Park MA 02136-0023 Ph: (617) 298-8304 | Resil Medical Associates Pc 2110 Dorchester Ave Seton Medical Building, Suite 205 Dorchester MA 02124-5628 Ph: (617) 298-8304 |
| NPI Number | 1962569848 |
|---|---|
| Provider Enumeration Date | 01/02/2007 |
| Last Update Date | 08/28/2014 |
| Medicare PECOS PAC ID | 9830133784 |
|---|---|
| Medicare Enrollment ID | O20050613000583 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962569848 | NPI | - | NPPES |
| 9714405 | Medicaid | MA | |
| 110076362A | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 159900 (Massachusetts) | Primary |
| Provider Name | Claude Resil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639150592 PECOS PAC ID: 5193769040 Enrollment ID: I20080813000473 |
| Provider Name | Molore J Resil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891239091 PECOS PAC ID: 6800159765 Enrollment ID: I20180406001846 |
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