| In His Imagefamily Medicine, P.c. | |
|
250 Green St Suite 200 Gardner MA 01440-1396 | |
| (978) 632-6444 | |
| (978) 632-5937 |
| Full Name | In His Imagefamily Medicine, P.c. |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 250 Green St, Gardner, Massachusetts |
| Authorized Official Name and Position | Paul A. Carpentier (PRESIDENT) |
| Authorized Official Contact | 9786326444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| In His Imagefamily Medicine, P.c. 250 Green St Suite 200 Gardner MA 01440-1396 Ph: (978) 632-6444 | In His Imagefamily Medicine, P.c. 250 Green St Suite 200 Gardner MA 01440-1396 Ph: (978) 632-6444 |
| NPI Number | 1477630549 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477630549 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Primary |
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