| Grace Niklas | |
|
210 Whiting St Suite 4 Hingham MA 02043-3724 | |
| (781) 749-6131 | |
| Not Available |
| Full Name | Grace Niklas |
|---|---|
| Speciality | Internal Medicine |
| Location | 210 Whiting St, Hingham, Massachusetts |
| Authorized Official Name and Position | Grace Niklas (OWNER) |
| Authorized Official Contact | 7817496131 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Grace Niklas 210 Whiting St Suite 4 Hingham MA 02043-3724 Ph: (781) 749-6131 | Grace Niklas 210 Whiting St Suite 4 Hingham MA 02043-3724 Ph: (781) 749-6131 |
| NPI Number | 1740475508 |
|---|---|
| Provider Enumeration Date | 09/13/2007 |
| Last Update Date | 09/13/2007 |
| Medicare PECOS PAC ID | 6901987718 |
|---|---|
| Medicare Enrollment ID | O20080118000143 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740475508 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Grace Niklas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093740599 PECOS PAC ID: 2163512831 Enrollment ID: I20071218000443 |
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