| New Bedford Internal Medicine & Geriatrics, Llc | |
|
726 County St New Bedford MA 02740-5405 | |
| (508) 984-5671 | |
| Not Available |
| Full Name | New Bedford Internal Medicine & Geriatrics, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 726 County St, New Bedford, Massachusetts |
| Authorized Official Name and Position | Ahmet F Dirican (OWNER) |
| Authorized Official Contact | 5089845671 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Bedford Internal Medicine & Geriatrics, Llc 726 County St New Bedford MA 02740-5405 Ph: (508) 984-5671 | New Bedford Internal Medicine & Geriatrics, Llc 726 County St New Bedford MA 02740-5405 Ph: (508) 984-5671 |
| NPI Number | 1912985433 |
|---|---|
| Provider Enumeration Date | 01/04/2006 |
| Last Update Date | 06/04/2008 |
| Medicare PECOS PAC ID | 1557386182 |
|---|---|
| Medicare Enrollment ID | O20051012000550 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912985433 | NPI | - | NPPES |
| 0042648 | Other | MA | NEIGHBORHOOD HEALTH PLAN |
| M19074 | Other | MA | BLUE SHIELD |
| 644651 | Other | MA | TUFTS |
| 9739611 | Medicaid | MA | |
| DD9214 | Other | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Ahmet F Dirican |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396723813 PECOS PAC ID: 2668432949 Enrollment ID: I20041012000586 |
| Provider Name | Joan Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154785335 PECOS PAC ID: 2668763855 Enrollment ID: I20160617001911 |
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