Stephanie M. Oliva Md Pc | |
10 Research Pl Ste 206 North Chelmsford MA 01863-2439 | |
(978) 275-1390 | |
(978) 275-1394 |
Full Name | Stephanie M. Oliva Md Pc |
---|---|
Speciality | Family Medicine |
Location | 10 Research Pl Ste 206, North Chelmsford, Massachusetts |
Authorized Official Name and Position | Stephanie M Oliva (PHYSICIAN) |
Authorized Official Contact | 6097447442 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Stephanie M. Oliva Md Pc 35 United Dr Ste 102 West Bridgewater MA 02379-1027 Ph: (508) 238-8646 | Stephanie M. Oliva Md Pc 10 Research Pl Ste 206 North Chelmsford MA 01863-2439 Ph: (978) 275-1390 |
NPI Number | 1467947432 |
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Provider Enumeration Date | 06/22/2018 |
Last Update Date | 10/14/2018 |
Medicare PECOS PAC ID | 8426300997 |
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Medicare Enrollment ID | O20181010003313 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467947432 | NPI | - | NPPES |
110120133A | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 269214 (Massachusetts) | Primary |
Provider Name | Stephanie M Oliva |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1750624482 PECOS PAC ID: 2860636859 Enrollment ID: I20170202000371 |
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Igc Iii Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 20 Research Pl Ste 220, North Chelmsford, MA 01863 Phone: 978-459-6737 Fax: 855-818-1869 | |
Igc Ii Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 20 Research Pl Ste 220, North Chelmsford, MA 01863 Phone: 978-459-6737 Fax: 855-818-1869 | |
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