Pembroke Medical Associates Inc | |
15 Old West Elm St Pembroke MA 02359-1731 | |
(781) 718-7435 | |
Not Available |
Full Name | Pembroke Medical Associates Inc |
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Speciality | Internal Medicine |
Location | 15 Old West Elm St, Pembroke, Massachusetts |
Authorized Official Name and Position | John Michael Stevenson (PRESIDENT) |
Authorized Official Contact | 7812029292 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Pembroke Medical Associates Inc 15 Old West Elm St Pembroke MA 02359-1731 Ph: (781) 202-9292 | Pembroke Medical Associates Inc 15 Old West Elm St Pembroke MA 02359-1731 Ph: (781) 718-7435 |
NPI Number | 1194332759 |
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Provider Enumeration Date | 09/28/2020 |
Last Update Date | 02/23/2023 |
Medicare PECOS PAC ID | 3678992955 |
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Medicare Enrollment ID | O20201006002422 |
Identifier | Type | State | Issuer |
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1194332759 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Christine Miranda |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184295917 PECOS PAC ID: 1951773514 Enrollment ID: I20230207002799 |
Aniket Chakrabarti Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 243 Church St, Suite E, Pembroke, MA 02359 Phone: 781-826-3838 Fax: 781-826-3846 |