# NEEDHAM FAMILY PRACTICE ASSOC. P.C.

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

## Provider details

- **NPI number:** 1255487120
- **Authorized official:** DR. GERALD P. CORCORAN MD (PRESIDENT)
- **Authorized official phone:** (781) 444-5515

## Contact information

- **Practice address:** 87 CHESTNUT ST, NEEDHAM, MA 02492-2578
- **Practice address phone:** (781) 444-5515
- **Mailing address:** 87 CHESTNUT ST, P.O. BOX 920369, NEEDHAM, MA 02492-2578
- **Mailing address phone:** (781) 444-5515

## Taxonomy

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

## Other

- **Enumeration date:** 01/25/2007
- **Last updated:** 07/13/2010