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Organization
DIGITRACE CARE SERVICES, INC.
Active
Organization
DIGITRACE CARE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA NAUFUL (VP COMPLIANCE & CONTRACTING)
(770) 309-2000
Entity
Organization
Contact information
Practice address
800 W CUMMINGS PARK, 5325, WOBURN, MA 01801
(781) 848-9111
Mailing address
200 CORPORATE PL, 5B, PEABODY, MA 01960-3840
(978) 536-7400
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000063102
MEDICARE
MA
01
—
327004
BCBS MA
MA
Enumeration date
06/21/2010
Last updated
08/22/2018
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