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Organization
MOUNT GRACE FAMILY MEDICINE LLC
Active
Organization
MOUNT GRACE FAMILY MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EKATERINA BRODSKI-QUIGLEY M.D. (PHYSICIAN)
(978) 249-3700
Entity
Organization
Contact information
Practice address
119 NEW ATHOL RD, ORANGE, MA 01364-9603
(978) 249-3700
Mailing address
51 WHEELER RD, WARWICK, MA 01378-9345
(617) 835-2422
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/08/2013
Last updated
07/15/2014
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