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Organization
COORDINATED PRIMARY CARE DBA HEALTHALLIANCE PULMONARY
Active
Organization
COORDINATED PRIMARY CARE DBA HEALTHALLIANCE PULMONARY
Active
Parent organization
COORDINATED PRIMARY CARE
Other names
HEALTHALLIANCE PULMONARY
Organization subpart
Yes
Provider details
NPI number
Legal business name
COORDINATED PRIMARY CARE
Authorized official
PHYLLIS FABELLO (EXECUTIVE DIRECTOR)
(978) 466-4268
Entity
Organization
Contact information
Practice address
50 MEMORIAL DRIVE, SUITE 113, LEOMINSTER, MA 01453
(978) 466-2692
(978) 466-4754
Mailing address
50 MEMORIAL DRIVE, SUITE 113, LEOMINSTER, MA 01453
(978) 466-2692
(978) 466-4754
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
—
NULL
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
NULL
207RC0000X
Cardiovascular Disease Physician
—
—
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
NULL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RP1001X
Pulmonary Disease Physician
216511
MA
207RP1001X
Pulmonary Disease Physician
Primary
—
NULL
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Enumeration date
02/22/2007
Last updated
01/29/2009
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