Somerville Family Practice | |
Somerville Family Practice 1020 Broadway Somerville MA 02144 | |
(617) 628-2160 | |
(617) 628-8237 |
Full Name | Somerville Family Practice |
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Speciality | Family Medicine |
Location | Somerville Family Practice, Somerville, Massachusetts |
Authorized Official Name and Position | Nancy Landry (RN OWNER) |
Authorized Official Contact | 6176282160 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Somerville Family Practice Somerville Family Practice 1020 Broadway Somerville MA 02144 Ph: (617) 628-2160 | Somerville Family Practice Somerville Family Practice 1020 Broadway Somerville MA 02144 Ph: (617) 628-2160 |
NPI Number | 1275089575 |
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Provider Enumeration Date | 08/28/2016 |
Last Update Date | 10/28/2016 |
Medicare PECOS PAC ID | 2567741887 |
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Medicare Enrollment ID | O20161109001092 |
Identifier | Type | State | Issuer |
---|---|---|---|
1275089575 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (Massachusetts) | Primary |
Provider Name | Margaret Satterfield |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770883597 PECOS PAC ID: 3870713183 Enrollment ID: I20141009000891 |
Provider Name | Daniel T Wemple |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1578983599 PECOS PAC ID: 2961628201 Enrollment ID: I20170719002394 |
Provider Name | Paula J Hercule |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1770964587 PECOS PAC ID: 9436417953 Enrollment ID: I20171211000935 |
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