| Landmark Medical Of Massachusetts Pllc | |
|
1400 Computer Dr Westborough MA 01581-1760 | |
| (657) 400-5180 | |
| (844) 698-7227 |
| Full Name | Landmark Medical Of Massachusetts Pllc |
|---|---|
| Speciality | General Practice |
| Location | 1400 Computer Dr, Westborough, Massachusetts |
| Authorized Official Name and Position | Christopher Dennis (CHIEF MEDICAL OFFICER) |
| Authorized Official Contact | 6572372450 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Landmark Medical Of Massachusetts Pllc 7755 Center Ave Ste 630 Huntington Beach CA 92647-3007 Ph: () - | Landmark Medical Of Massachusetts Pllc 1400 Computer Dr Westborough MA 01581-1760 Ph: (657) 400-5180 |
| NPI Number | 1841739489 |
|---|---|
| Provider Enumeration Date | 02/15/2017 |
| Last Update Date | 01/30/2024 |
| Medicare PECOS PAC ID | 8921385832 |
|---|---|
| Medicare Enrollment ID | O20170502001860 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841739489 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Elizabeth J Nelson-frazier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952706210 PECOS PAC ID: 2365768454 Enrollment ID: I20150309001031 |
| Provider Name | Steven Yoo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669736872 PECOS PAC ID: 5698033785 Enrollment ID: I20171219001230 |
Landmark Medical Of Massachusetts Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1400 Computer Dr Ste 301, Westborough, MA 01581 Phone: 617-420-5316 | |
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