Suburban Paltc | |
710 Stockbridge Rd Lee MA 01238-9316 | |
(413) 243-0122 | |
Not Available |
Full Name | Suburban Paltc |
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Speciality | Internal Medicine |
Location | 710 Stockbridge Rd, Lee, Massachusetts |
Authorized Official Name and Position | Gabriel M Naventi (MD/VICE PRESIDENT) |
Authorized Official Contact | 4132430122 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Suburban Paltc 710 Stockbridge Rd Lee MA 01238-9316 Ph: (413) 243-0122 | Suburban Paltc 710 Stockbridge Rd Lee MA 01238-9316 Ph: (413) 243-0122 |
NPI Number | 1851129811 |
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Provider Enumeration Date | 07/22/2024 |
Last Update Date | 07/22/2024 |
Medicare PECOS PAC ID | 4880134824 |
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Medicare Enrollment ID | O20240905002241 |
Identifier | Type | State | Issuer |
---|---|---|---|
1851129811 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Maryjane Scoco |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083862627 PECOS PAC ID: 3072674175 Enrollment ID: I20081208000601 |
Provider Name | Gabriel Naventi |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1659518462 PECOS PAC ID: 1254485360 Enrollment ID: I20090824000336 |
Provider Name | Thomas Consolati |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1326006362 PECOS PAC ID: 9436192812 Enrollment ID: I20100325000705 |
Suburban Internal Medicine, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 710 Stockbridge Rd, Lee, MA 01238 Phone: 413-243-0122 Fax: 413-243-2251 | |
Next Generation Family Practice Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 312 Prospect St, Lee, MA 01238 Phone: 413-464-1586 | |
Lee Family Practice,pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11 Quarry Hill Rd, Lee, MA 01238 Phone: 413-243-0536 Fax: 413-243-8040 |