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Organization
NORTHEAST MEDICAL GROUP, INC.
Active
Organization
NORTHEAST MEDICAL GROUP, INC.
Active
Other names
Northeast Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SACHIN B PATEL M.D. (PRESIDENT)
(978) 710-4242
Entity
Organization
Contact information
Practice address
275 VARNUM AVE, SUITE # 108, LOWELL, MA 01854-2141
(978) 710-4242
(978) 710-4202
Mailing address
275 VARNUM AVENUE, SUITE # 108, LOWELL, MA 01854-2117
(978) 710-4242
(978) 710-4202
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
228152
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1023466
CIGNA & HEALTHSOURCE
MA
01
—
117524
FALLON
MA
05
—
2123649
—
MA
01
—
465583
TUFTS & TUFTS MEDICARE PREFFERED
MA
01
—
7667786
ATENA
MA
01
—
96037302
NETWORK HEALTH
MA
01
—
AA67427
HARVARD PILGRIM HEALTH CARE
MA
01
—
J40434
BLUECROSS-BLUESHIELD
MA
01
—
P00440617
RAIL ROAD MEDICARE
—
Enumeration date
04/27/2009
Last updated
10/20/2011
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