# TAK MEDICAL GROUP, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** TMG Primary Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700293396
- **Authorized official:** DR. PAYAM AGHASSI M.D. (PRESIDENT - OWNER)
- **Authorized official phone:** (978) 728-4455

## Contact information

- **Practice address:** 47 ASHBY STATE RD, FITCHBURG, MA 01420-2038
- **Practice address phone:** (978) 345-0303
- **Practice address fax:** (978) 345-3529
- **Mailing address:** 48 NELSON ST, LEOMINSTER, MA 01453-2134
- **Mailing address phone:** (978) 728-4455
- **Mailing address fax:** (978) 751-8546

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/16/2014
- **Last updated:** 11/19/2015