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220 Pawtucket St Suite 300 Lowell MA 01854-3573 | |
| (978) 934-6800 | |
| (978) 934-3080 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Student Health |
| Location | 220 Pawtucket St, Lowell, Massachusetts |
| Authorized Official Name and Position | Diana J Walker-moyer (DIRECTOR HEALTH SERVICES) |
| Authorized Official Contact | 9789346800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
220 Pawtucket St Suite 300 Lowell MA 01854-3573 Ph: (978) 934-6800 | 220 Pawtucket St Suite 300 Lowell MA 01854-3573 Ph: (978) 934-6800 |
| NPI Number | 1639546724 |
|---|---|
| Provider Enumeration Date | 08/25/2015 |
| Last Update Date | 08/25/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639546724 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QS1000X | Clinic/center - Student Health | (Massachusetts) | Primary |
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