# MEDIGROUP PC

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

## Provider details

- **NPI number:** 1063689602
- **Authorized official:** DR. MARK WEINER M.D. (PRESIDENT)
- **Authorized official phone:** (781) 986-1737

## Contact information

- **Practice address:** 20 TREMONT ST, SUITE 20, DUXBURY, MA 02332-5310
- **Practice address phone:** (781) 934-9741
- **Practice address fax:** (866) 480-4671
- **Mailing address:** 4 FRANK LEARY WAY, RANDOLPH, MA 02368-4512
- **Mailing address phone:** (781) 986-1737
- **Mailing address fax:** (866) 480-4671

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QS1200X | Sleep Disorder Diagnostic Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/13/2008
- **Last updated:** 05/13/2008