West Boylston Family Medicine Pc | |
259 Main St. Rutland MA 01543-0367 | |
(508) 886-7865 | |
Not Available |
Full Name | West Boylston Family Medicine Pc |
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Speciality | Family Medicine |
Location | 259 Main St., Rutland, Massachusetts |
Authorized Official Name and Position | Robert B. Shepherd (PRESIDENT) |
Authorized Official Contact | 5088867865 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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West Boylston Family Medicine Pc Po Box 367 Rutland MA 01543-0367 Ph: (508) 886-7865 | West Boylston Family Medicine Pc 259 Main St. Rutland MA 01543-0367 Ph: (508) 886-7865 |
NPI Number | 1659510329 |
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Provider Enumeration Date | 02/19/2009 |
Last Update Date | 02/19/2009 |
Identifier | Type | State | Issuer |
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1659510329 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 73159 (Massachusetts) | Primary |