| Cvs Clinic Primary Care Pllc | |
|
413 Paradise Rd Ste B Swampscott MA 01907-1332 | |
| (978) 922-2003 | |
| Not Available |
| Full Name | Cvs Clinic Primary Care Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 413 Paradise Rd Ste B, Swampscott, Massachusetts |
| Authorized Official Name and Position | Deborah Pincince (ADMINISTRATOR) |
| Authorized Official Contact | 4017703813 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cvs Clinic Primary Care Pllc 1 Cvs Dr Woonsocket RI 02895-6146 Ph: () - | Cvs Clinic Primary Care Pllc 413 Paradise Rd Ste B Swampscott MA 01907-1332 Ph: (978) 922-2003 |
| NPI Number | 1366206955 |
|---|---|
| Provider Enumeration Date | 02/13/2024 |
| Last Update Date | 09/26/2024 |
| Medicare PECOS PAC ID | 3577098292 |
|---|---|
| Medicare Enrollment ID | O20241119000406 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366206955 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Michael Richardson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124430160 PECOS PAC ID: 6901191675 Enrollment ID: I20170714000899 |
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