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Contact Information

WACHUSETT MEDICAL ASSOCIATES
50 MEMORIAL DRIVE
SUITE 108
LEOMINSTER, MA01453
 Phone: 978-466-2277
 Fax: 978-466-2282
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for WACHUSETT MEDICAL ASSOCIATES · (Female)

NPI Number 1255470571
Status Active
Credentials
Entity Individual
Enumeration date 02/05/2007
Last updated 09/18/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • MA License # 151001
  • MA Medicaid 3174671
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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