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Organization

PRIMARY PHYSICIAN PARTNERS P.C

Active
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Organization

PRIMARY PHYSICIAN PARTNERS P.C

Active
Other names
Primary Physician Partners
Organization subpart
No

Provider details

NPI number
Authorized official
MS. KELLY ANN WILSON (BILLING MANAGER)
(508) 363-7707
Entity
Organization

Contact information

Practice address
123 SUMMER ST, SUITE 385N, WORCESTER, MA 01608-1216
(508) 363-7300
(508) 363-9688
Mailing address
PO BOX 2793, WORCESTER, MA 01613-2793
(508) 363-7300
(508) 363-9688

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3101347
—
MA
01
—
41834
NETWORK
—
01
—
691558
TUFTS
—
01
—
M18243
BCBS
—
Enumeration date
07/29/2006
Last updated
06/02/2026
About Stedi
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