| Awp Providers, Llc | |
|
300 Federal St Andover MA 01810-1038 | |
| (978) 337-3224 | |
| Not Available |
| Full Name | Awp Providers, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 300 Federal St, Andover, Massachusetts |
| Authorized Official Name and Position | Neil Welch (PRESIDENT) |
| Authorized Official Contact | 9783373224 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Awp Providers, Llc 300 Federal St Andover MA 01810-1038 Ph: () - | Awp Providers, Llc 300 Federal St Andover MA 01810-1038 Ph: (978) 337-3224 |
| NPI Number | 1821813577 |
|---|---|
| Provider Enumeration Date | 11/18/2024 |
| Last Update Date | 06/04/2025 |
| Medicare PECOS PAC ID | 4183152903 |
|---|---|
| Medicare Enrollment ID | O20250107003992 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821813577 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Lara A Bastajian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922443746 PECOS PAC ID: 5193033363 Enrollment ID: I20151008000248 |
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