Stony Brook Primary Care Llc | |
20 Research Pl Suite 100 North Chelmsford MA 01863-2454 | |
(978) 446-9850 | |
(855) 283-4714 |
Full Name | Stony Brook Primary Care Llc |
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Speciality | Internal Medicine |
Location | 20 Research Pl, North Chelmsford, Massachusetts |
Authorized Official Name and Position | Jessica Wieselquist (OWNER/PROVIDER) |
Authorized Official Contact | 9783037179 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Stony Brook Primary Care Llc 20 Research Pl Suite 100 North Chelmsford MA 01863-2454 Ph: (978) 446-9850 | Stony Brook Primary Care Llc 20 Research Pl Suite 100 North Chelmsford MA 01863-2454 Ph: (978) 446-9850 |
NPI Number | 1790945160 |
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Provider Enumeration Date | 06/10/2008 |
Last Update Date | 07/31/2017 |
Medicare PECOS PAC ID | 8527129717 |
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Medicare Enrollment ID | O20081205000630 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790945160 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Jessica Wieselquist |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1144255712 PECOS PAC ID: 7012928567 Enrollment ID: I20060511000315 |
Provider Name | Dorothy F Semonian |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568497105 PECOS PAC ID: 2264535798 Enrollment ID: I20070321000223 |
Integrated Gastroenterology Consultants, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 20 Research Pl Ste 220, North Chelmsford, MA 01863 Phone: 978-459-6737 | |
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 | |
Stephanie M. Oliva Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10 Research Pl Ste 206, North Chelmsford, MA 01863 Phone: 978-275-1390 Fax: 978-275-1394 | |
Integrated Gastroenterology Consultants, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 20 Research Pl, Suite 220, North Chelmsford, MA 01863 Phone: 978-459-6737 Fax: 978-459-2580 | |
Chelmsford Family Practice, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10 Adams St, North Chelmsford, MA 01863 Phone: 978-251-3159 Fax: 978-251-0636 |