Pca In Pediatric Primary Care Llc | |
12 Alfred St Suite 200 Woburn MA 01801-1972 | |
(781) 646-0500 | |
(781) 646-7130 |
Full Name | Pca In Pediatric Primary Care Llc |
---|---|
Speciality | Psychologist - Counseling |
Location | 12 Alfred St, Woburn, Massachusetts |
Authorized Official Name and Position | Michael F Jacques (OWNER) |
Authorized Official Contact | 7816460500 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Pca In Pediatric Primary Care Llc 12 Alfred St Suite 200 Woburn MA 01801-1972 Ph: (781) 646-0500 | Pca In Pediatric Primary Care Llc 12 Alfred St Suite 200 Woburn MA 01801-1972 Ph: (781) 646-0500 |
NPI Number | 1013347103 |
---|---|
Provider Enumeration Date | 11/26/2013 |
Last Update Date | 11/26/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013347103 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary |
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