Rtw Essential Wellness Llc | |
51 Neponset Ave Dorchester MA 02122-3321 | |
(617) 368-0820 | |
(857) 598-4816 |
Full Name | Rtw Essential Wellness Llc |
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Speciality | Clinic/Center |
Location | 51 Neponset Ave, Dorchester, Massachusetts |
Authorized Official Name and Position | Marie Canton (OWNER) |
Authorized Official Contact | 6173680820 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Rtw Essential Wellness Llc 51 Neponset Ave Dorchester MA 02122-3321 Ph: () - | Rtw Essential Wellness Llc 51 Neponset Ave Dorchester MA 02122-3321 Ph: (617) 368-0820 |
NPI Number | 1659085058 |
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Provider Enumeration Date | 01/10/2023 |
Last Update Date | 01/10/2023 |
Medicare PECOS PAC ID | 5698147478 |
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Medicare Enrollment ID | O20230203000407 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659085058 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Marie Rose Canton |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609018837 PECOS PAC ID: 3577615053 Enrollment ID: I20230109000892 |
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