| Stony Brook Primary Care Llc | |
|
20 Research Pl Suite 100 North Chelmsford MA 01863-2454 | |
| (978) 446-9850 | |
| (855) 283-4714 |
| Full Name | Stony Brook Primary Care Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 20 Research Pl, North Chelmsford, Massachusetts |
| Authorized Official Name and Position | Jessica Wieselquist (OWNER/PROVIDER) |
| Authorized Official Contact | 9783037179 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stony Brook Primary Care Llc 20 Research Pl Suite 100 North Chelmsford MA 01863-2454 Ph: (978) 446-9850 | Stony Brook Primary Care Llc 20 Research Pl Suite 100 North Chelmsford MA 01863-2454 Ph: (978) 446-9850 |
| NPI Number | 1790945160 |
|---|---|
| Provider Enumeration Date | 06/10/2008 |
| Last Update Date | 07/31/2017 |
| Medicare PECOS PAC ID | 8527129717 |
|---|---|
| Medicare Enrollment ID | O20081205000630 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790945160 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Jessica Wieselquist |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144255712 PECOS PAC ID: 7012928567 Enrollment ID: I20060511000315 |
| Provider Name | Dorothy F Semonian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568497105 PECOS PAC ID: 2264535798 Enrollment ID: I20070321000223 |
Stephanie M. Oliva Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10 Research Pl Ste 206, North Chelmsford, MA 01863 Phone: 978-275-1390 Fax: 978-275-1394 | |
Chelmsford Family Practice, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10 Adams St, North Chelmsford, MA 01863 Phone: 978-251-3159 Fax: 978-251-0636 |