| Quincy Center Primary Care Pc | |
|
1250 Hancock St Ste 104n Quincy MA 02169-4331 | |
| (617) 328-3998 | |
| Not Available |
| Full Name | Quincy Center Primary Care Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1250 Hancock St Ste 104n, Quincy, Massachusetts |
| Authorized Official Name and Position | Yanping Wen (OWNER/PRESIDENT) |
| Authorized Official Contact | 6173283998 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Quincy Center Primary Care Pc 1250 Hancock St Ste 104n Quincy MA 02169-4331 Ph: () - | Quincy Center Primary Care Pc 1250 Hancock St Ste 104n Quincy MA 02169-4331 Ph: (617) 328-3998 |
| NPI Number | 1588864763 |
|---|---|
| Provider Enumeration Date | 07/24/2007 |
| Last Update Date | 07/24/2007 |
| Medicare PECOS PAC ID | 9032214572 |
|---|---|
| Medicare Enrollment ID | O20070412000067 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588864763 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 209654 (Massachusetts) | Primary |
| Provider Name | Yanping Wen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295767721 PECOS PAC ID: 1355379264 Enrollment ID: I20050802000303 |
| Provider Name | Qiye Wendy Li |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457820623 PECOS PAC ID: 5294073177 Enrollment ID: I20190219002769 |
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