| Empower Therapeutics, PLLC | |
|
49 State Rd Nauset Building #102 Dartmouth MA 02747-3322 | |
| (508) 848-8089 | |
| (774) 628-9857 |
| Full Name | Empower Therapeutics, PLLC |
|---|---|
| Speciality | General Practice |
| Location | 49 State Rd Nauset Building #102, Dartmouth, Massachusetts |
| Authorized Official Name and Position | Michael a Pellegrino (OWNER) |
| Authorized Official Contact | 5088488089 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Empower Therapeutics, PLLC 6 Melissa Ann Ln Mattapoisett MA 02739-1077 Ph: (508) 264-2003 | Empower Therapeutics, PLLC 49 State Rd Nauset Building #102 Dartmouth MA 02747-3322 Ph: (508) 848-8089 |
| NPI Number | 1518789791 |
|---|---|
| Provider Enumeration Date | 10/29/2024 |
| Last Update Date | 01/09/2025 |
| Certification Date | 01/05/2025 |
| Medicare PECOS PAC ID | 2062947328 |
|---|---|
| Medicare Enrollment ID | O20241122001860 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518789791 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | () | Primary |
| Provider Name | Michael a Pellegrino |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1114060506 PECOS PAC ID: 7113938192 Enrollment ID: I20060505000784 |
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