| Integra Primary Health Inc | |
|
95 Washington St Ste 204 Canton MA 02021-4009 | |
| (774) 578-7871 | |
| Not Available |
| Full Name | Integra Primary Health Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 95 Washington St Ste 204, Canton, Massachusetts |
| Authorized Official Name and Position | Shahid Ali (PARTNER) |
| Authorized Official Contact | 7745787871 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integra Primary Health Inc 95 Washington St Ste 204 Canton MA 02021-4009 Ph: (774) 578-7871 | Integra Primary Health Inc 95 Washington St Ste 204 Canton MA 02021-4009 Ph: (774) 578-7871 |
| NPI Number | 1669289583 |
|---|---|
| Provider Enumeration Date | 12/13/2024 |
| Last Update Date | 12/13/2024 |
| Medicare PECOS PAC ID | 6901328418 |
|---|---|
| Medicare Enrollment ID | O20250313001943 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669289583 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Shahid Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265711535 PECOS PAC ID: 3971824285 Enrollment ID: I20150611000631 |
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