| Taunton Medical Center, Pc | |
|
54 Court St Taunton Medical Center Taunton MA 02780-3201 | |
| (508) 821-2500 | |
| (508) 821-2122 |
| Full Name | Taunton Medical Center, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 54 Court St, Taunton, Massachusetts |
| Authorized Official Name and Position | Omar Caticha (CO-OWNER) |
| Authorized Official Contact | 5088212500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Taunton Medical Center, Pc Po Box 9132 Brookline MA 02446-9132 Ph: (800) 927-0002 | Taunton Medical Center, Pc 54 Court St Taunton Medical Center Taunton MA 02780-3201 Ph: (508) 821-2500 |
| NPI Number | 1811987720 |
|---|---|
| Provider Enumeration Date | 10/24/2005 |
| Last Update Date | 11/05/2014 |
| Medicare PECOS PAC ID | 7012978893 |
|---|---|
| Medicare Enrollment ID | O20041025000771 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811987720 | NPI | - | NPPES |
| 9703501 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Omar Caticha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700873924 PECOS PAC ID: 5991766776 Enrollment ID: I20061116000131 |
| Provider Name | Nicole M Leger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013296169 PECOS PAC ID: 5799958781 Enrollment ID: I20111108000564 |
| Provider Name | Katia C Korte |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083942270 PECOS PAC ID: 5890924872 Enrollment ID: I20140218000139 |
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