| Revere Medical Of Massachusetts, Pc | |
|
1 Pearl St Ste 2200 Brockton MA 02301-2874 | |
| (615) 672-7122 | |
| (615) 672-7849 |
| Full Name | Revere Medical Of Massachusetts, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 1 Pearl St Ste 2200, Brockton, Massachusetts |
| Authorized Official Name and Position | Jane Holden (BILLING MANAGER) |
| Authorized Official Contact | 6156727122 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Revere Medical Of Massachusetts, Pc 40 Burton Hills Blvd Ste 370 Nashville TN 37215-6287 Ph: (615) 672-7122 | Revere Medical Of Massachusetts, Pc 1 Pearl St Ste 2200 Brockton MA 02301-2874 Ph: (615) 672-7122 |
| NPI Number | 1336976539 |
|---|---|
| Provider Enumeration Date | 09/19/2024 |
| Last Update Date | 09/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336976539 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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