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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

NPI # 1255470571
LBN Legal business name WACHUSETT MEDICAL ASSOCIATES
Authorized official KIMBERLY EBB - (OWNER PHYSICIAN)
Entity Organization
Organization subpart 1 No
Enumeration date 02/05/2007
Last updated 09/18/2007 - About 19 years ago
Identifiers
MA License # 151001
MA Medicaid 3174671
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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