# MOUNT GRACE FAMILY MEDICINE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013346188
- **Authorized official:** DR. EKATERINA BRODSKI-QUIGLEY M.D. (PHYSICIAN)
- **Authorized official phone:** (978) 249-3700

## Contact information

- **Practice address:** 119 NEW ATHOL RD, ORANGE, MA 01364-9603
- **Practice address phone:** (978) 249-3700
- **Mailing address:** 51 WHEELER RD, WARWICK, MA 01378-9345
- **Mailing address phone:** (617) 835-2422

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/08/2013
- **Last updated:** 07/15/2014