| Healthy Concept Family Practice, Llc | |
|
118 Main St Suite #3 Sturbridge MA 01566-1533 | |
| (774) 241-0450 | |
| (774) 241-0583 |
| Full Name | Healthy Concept Family Practice, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 118 Main St, Sturbridge, Massachusetts |
| Authorized Official Name and Position | Junjie Fang (OWNER) |
| Authorized Official Contact | 7742410450 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthy Concept Family Practice, Llc 2 Old Brook Cir Sturbridge MA 01566-2327 Ph: (774) 241-0450 | Healthy Concept Family Practice, Llc 118 Main St Suite #3 Sturbridge MA 01566-1533 Ph: (774) 241-0450 |
| NPI Number | 1861752271 |
|---|---|
| Provider Enumeration Date | 05/18/2012 |
| Last Update Date | 04/09/2013 |
| Medicare PECOS PAC ID | 8224285317 |
|---|---|
| Medicare Enrollment ID | O20120824000191 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861752271 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 238587 (Massachusetts) | Primary |
| Provider Name | Junjie Fang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932247061 PECOS PAC ID: 4981791696 Enrollment ID: I20090428000123 |
Village Nutrition Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 511 Main St, Sturbridge, MA 01518 Phone: 413-214-2233 |