| Bridgewater Primary Care And Cardiology, Llc | |
|
711 W Center St West Bridgewater MA 02379-1542 | |
| (508) 583-1100 | |
| Not Available |
| Full Name | Bridgewater Primary Care And Cardiology, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 711 W Center St, West Bridgewater, Massachusetts |
| Authorized Official Name and Position | John K. Terzian (MEDICAL DIRECTOR) |
| Authorized Official Contact | 5085831100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridgewater Primary Care And Cardiology, Llc 711 W Center St West Bridgewater MA 02379-1542 Ph: (508) 583-1100 | Bridgewater Primary Care And Cardiology, Llc 711 W Center St West Bridgewater MA 02379-1542 Ph: (508) 583-1100 |
| NPI Number | 1457670341 |
|---|---|
| Provider Enumeration Date | 05/18/2010 |
| Last Update Date | 11/19/2014 |
| Medicare PECOS PAC ID | 2466586367 |
|---|---|
| Medicare Enrollment ID | O20100813000745 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457670341 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | (* (Not Available)) | Primary |
| Provider Name | John K Terzian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619963337 PECOS PAC ID: 7214983600 Enrollment ID: I20050329000827 |
| Provider Name | Candice Lee Greene |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942718580 PECOS PAC ID: 8224391735 Enrollment ID: I20180416002066 |
Principes Medical Group, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 35 United Dr Ste 102, West Bridgewater, MA 02379 Phone: 508-238-8646 |