| Premier Medical Associates | |
|
422 Worcester St Suite 105 Wellesley MA 02481-5341 | |
| (781) 431-0002 | |
| Not Available |
| Full Name | Premier Medical Associates |
|---|---|
| Speciality | General Practice |
| Location | 422 Worcester St, Wellesley, Massachusetts |
| Authorized Official Name and Position | Dianne C Quibell (OWNER) |
| Authorized Official Contact | 7814310002 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Medical Associates 422 Worcester St Suite 105 Wellesley MA 02481-5341 Ph: (781) 431-0002 | Premier Medical Associates 422 Worcester St Suite 105 Wellesley MA 02481-5341 Ph: (781) 431-0002 |
| NPI Number | 1366656456 |
|---|---|
| Provider Enumeration Date | 05/09/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 6608816186 |
|---|---|
| Medicare Enrollment ID | O20050504000185 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366656456 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 76537 (Massachusetts) | Primary |
| Provider Name | Dianne Q Quibell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265480883 PECOS PAC ID: 0244270726 Enrollment ID: I20050601000062 |
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