| Swenson Healthcare Of Ma, Pllc | |
|
222 State St Ludlow MA 01056-3437 | |
| (253) 300-8453 | |
| Not Available |
| Full Name | Swenson Healthcare Of Ma, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 222 State St, Ludlow, Massachusetts |
| Authorized Official Name and Position | Adnan M Dahdul (SOLE MBR) |
| Authorized Official Contact | 2533008453 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Swenson Healthcare Of Ma, Pllc 1201 Pacific Ave Ste 400 Tacoma WA 98402-4381 Ph: (253) 300-8453 | Swenson Healthcare Of Ma, Pllc 222 State St Ludlow MA 01056-3437 Ph: (253) 300-8453 |
| NPI Number | 1811598154 |
|---|---|
| Provider Enumeration Date | 11/03/2020 |
| Last Update Date | 11/03/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811598154 | NPI | - | NPPES |
| S100693934 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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