Vernon Integrative Medical Group, Llc | |
141 Massasoit Rd Worcester MA 01604-3318 | |
(508) 754-9950 | |
(508) 754-2592 |
Full Name | Vernon Integrative Medical Group, Llc |
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Speciality | Internal Medicine |
Location | 141 Massasoit Rd, Worcester, Massachusetts |
Authorized Official Name and Position | Jon Trister (OWNER) |
Authorized Official Contact | 5087549950 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Vernon Integrative Medical Group, Llc 141 Massasoit Rd Worcester MA 01604-3318 Ph: (508) 754-9950 | Vernon Integrative Medical Group, Llc 141 Massasoit Rd Worcester MA 01604-3318 Ph: (508) 754-9950 |
NPI Number | 1972935070 |
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Provider Enumeration Date | 07/31/2013 |
Last Update Date | 07/31/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972935070 | NPI | - | NPPES |
3144941 | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 80587 (Massachusetts) | Primary |
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Worcester Internal Medicine, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 416 Belmont St, Worcester, MA 01604 Phone: 508-756-1808 Fax: 508-798-0538 | |
Anthony Distefano, Jr Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 562 Lincoln St, Worcester, MA 01605 Phone: 508-852-6028 Fax: 508-721-7821 | |
Joseph J. Savitt, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Lincoln St, Worcester, MA 01605 Phone: 508-755-1222 Fax: 508-754-9479 | |
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