# COORDINATED PRIMARY CARE DBA HEALTHALLIANCE PULMONARY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** COORDINATED PRIMARY CARE
- **Other names:** HEALTHALLIANCE PULMONARY
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1518092485
- **Legal business name:** COORDINATED PRIMARY CARE
- **Authorized official:** PHYLLIS FABELLO (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (978) 466-4268

## Contact information

- **Practice address:** 50 MEMORIAL DRIVE, SUITE 113, LEOMINSTER, MA 01453
- **Practice address phone:** (978) 466-2692
- **Practice address fax:** (978) 466-4754
- **Mailing address:** 50 MEMORIAL DRIVE, SUITE 113, LEOMINSTER, MA 01453
- **Mailing address phone:** (978) 466-2692
- **Mailing address fax:** (978) 466-4754

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |
| 207RP1001X | Pulmonary Disease Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/22/2007
- **Last updated:** 01/29/2009