# APPLE MEDICAL CLINIC MA INC

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

## Provider details

- **NPI number:** 1053902957
- **Authorized official:** MICHAEL JOHNSON (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (508) 861-1150

## Contact information

- **Practice address:** 63 FOUNTAIN ST STE 402, FRAMINGHAM, MA 01702-6280
- **Practice address phone:** (508) 861-1150
- **Mailing address:** 63 FOUNTAIN ST STE 402, FRAMINGHAM, MA 01702-6280
- **Mailing address phone:** (508) 861-1150

## Taxonomy

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

## Other

- **Enumeration date:** 02/02/2021
- **Last updated:** 02/02/2021