| Private Health Care Group, Llc | |
|
70 Hastings St Wellesley MA 02481-5439 | |
| (781) 772-5500 | |
| (781) 772-5600 |
| Full Name | Private Health Care Group, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 70 Hastings St, Wellesley, Massachusetts |
| Authorized Official Name and Position | Karen Theo Isselbacher, (OWNER AND CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 6178753223 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Private Health Care Group, Llc 70 Hastings St Wellesley MA 02481-5439 Ph: (781) 772-5500 | Private Health Care Group, Llc 70 Hastings St Wellesley MA 02481-5439 Ph: (781) 772-5500 |
| NPI Number | 1053680108 |
|---|---|
| Provider Enumeration Date | 12/19/2011 |
| Last Update Date | 01/23/2024 |
| Medicare PECOS PAC ID | 1052571874 |
|---|---|
| Medicare Enrollment ID | O20120331000047 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053680108 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Li Tso |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467443150 PECOS PAC ID: 4284614819 Enrollment ID: I20040723000096 |
| Provider Name | Karen T Isselbacher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508822867 PECOS PAC ID: 5193732220 Enrollment ID: I20060315000417 |
| Provider Name | Christine M Harrington |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306951363 PECOS PAC ID: 6406042282 Enrollment ID: I20101118000876 |
| Provider Name | Alicia M Herlihy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689350217 PECOS PAC ID: 5193172302 Enrollment ID: I20231109002115 |
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