# PRIMARY CARE CLINIC BOSTON PC

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

## Provider details

- **NPI number:** 1316452329
- **Authorized official:** ANKUR A PATEL MD (OWNER)
- **Authorized official phone:** (617) 875-5681

## Contact information

- **Practice address:** 2100 DORCHESTER AVE BLDG SUITE314, DORCHESTER, MA 02124-5615
- **Practice address phone:** (617) 296-0720
- **Practice address fax:** (617) 296-5166
- **Mailing address:** 16 HONEYSUCKLE LN, HANOVER, MA 02339-3113
- **Mailing address phone:** (617) 875-5681

## Taxonomy

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

## Other

- **Enumeration date:** 12/13/2017
- **Last updated:** 09/24/2018