| Higuchi Medical Care, Pllc | |
|
70 Fulton St Boston MA 02109-1402 | |
| (617) 843-5001 | |
| (617) 284-6774 |
| Full Name | Higuchi Medical Care, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 70 Fulton St, Boston, Massachusetts |
| Authorized Official Name and Position | Masaya Higuchi (AUTHORIZED OFFICIAL/OWNER) |
| Authorized Official Contact | 2176919740 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Higuchi Medical Care, Pllc 14 Gilbert St Newton MA 02465-2211 Ph: (217) 691-9740 | Higuchi Medical Care, Pllc 70 Fulton St Boston MA 02109-1402 Ph: (617) 843-5001 |
| NPI Number | 1598366098 |
|---|---|
| Provider Enumeration Date | 11/03/2020 |
| Last Update Date | 12/08/2020 |
| Medicare PECOS PAC ID | 3577976711 |
|---|---|
| Medicare Enrollment ID | O20210108000413 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598366098 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Masaya Higuchi |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1457544892 PECOS PAC ID: 6608023874 Enrollment ID: I20180816001823 |
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