| Grove Medical Associates, Pc | |
|
250 Hampton St Auburn MA 01501-2584 | |
| (508) 753-2060 | |
| (508) 752-4244 |
| Full Name | Grove Medical Associates, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 250 Hampton St, Auburn, Massachusetts |
| Authorized Official Name and Position | Dennis E Murphy (TREASURER) |
| Authorized Official Contact | 5087532060 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Grove Medical Associates, Pc 250 Hampton St Auburn MA 01501-2584 Ph: (508) 753-2060 | Grove Medical Associates, Pc 250 Hampton St Auburn MA 01501-2584 Ph: (508) 753-2060 |
| NPI Number | 1790716199 |
|---|---|
| Provider Enumeration Date | 07/05/2006 |
| Last Update Date | 04/14/2011 |
| Medicare PECOS PAC ID | 4486667953 |
|---|---|
| Medicare Enrollment ID | O20060921000337 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790716199 | NPI | - | NPPES |
| 8205 | Other | MA | FALLON |
| M14761 | Other | MA | BLUE SHIELD ID # |
| 710456 | Other | MA | TUFTS GROUP # |
| 110071073B | Medicaid | MA | |
| 98282401 | Other | MA | NETWORK HEALTH GRP # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
| Provider Name | Dennis Edward Murphy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841266848 PECOS PAC ID: 9436106937 Enrollment ID: I20050406001112 |
| Provider Name | John E Kelly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174599211 PECOS PAC ID: 6406866276 Enrollment ID: I20060425000487 |
| Provider Name | David E Weinstock |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447226659 PECOS PAC ID: 7618005265 Enrollment ID: I20100503000501 |
| Provider Name | Carol Martin Weinstock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851442974 PECOS PAC ID: 8527248988 Enrollment ID: I20110202000691 |