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Organization
MEDEXPRESS PRIMARY CARE MASSACHUSETTS, P.C.
Active
Organization
MEDEXPRESS PRIMARY CARE MASSACHUSETTS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRETT GALL (DIRECTOR PAYOR CONTRACTING)
(304) 225-2500
Entity
Organization
Contact information
Practice address
578 HUNTINGTON AVE FL 2, BOSTON, MA 02115-5902
(618) 879-5220
(724) 743-1133
Mailing address
1001 CONSOL ENERGY DR, CANONSBURG, PA 15317-6506
(304) 225-2500
(724) 743-1133
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/11/2017
Last updated
04/02/2018
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