| Careconnectmd Massachusetts PC | |
|
529 Main St Ste 200 Charlestown MA 02129-1119 | |
| (888) 789-9585 | |
| Not Available |
| Full Name | Careconnectmd Massachusetts PC |
|---|---|
| Speciality | General Practice |
| Location | 529 Main St Ste 200, Charlestown, Massachusetts |
| Authorized Official Name and Position | Hyong Kim (OWNER) |
| Authorized Official Contact | 8887899585 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Careconnectmd Massachusetts PC 3090 Bristol St Ste 200 Costa Mesa CA 92626-3061 | Careconnectmd Massachusetts PC 529 Main St Ste 200 Charlestown MA 02129-1119 Ph: (888) 789-9585 |
| NPI Number | 1215618798 |
|---|---|
| Provider Enumeration Date | 07/27/2023 |
| Last Update Date | 01/03/2025 |
| Certification Date | 01/03/2025 |
| Medicare PECOS PAC ID | 3870021868 |
|---|---|
| Medicare Enrollment ID | O20250103000917 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215618798 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | () | Primary |
| Provider Name | Wanda Colon-cartagena |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1629300256 PECOS PAC ID: 6608010921 Enrollment ID: I20130926000150 |
| Provider Name | Hyong Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396792677 PECOS PAC ID: 7719998251 Enrollment ID: I20250103001027 |
| Provider Name | Orlando Collado |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205964947 PECOS PAC ID: 8820143134 Enrollment ID: I20250207000964 |
| Provider Name | Matthew Chandler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215261771 PECOS PAC ID: 1456539378 Enrollment ID: I20250306002379 |
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