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Organization
COORDINATED PRIMARY CARE, INC.
Active
Organization
COORDINATED PRIMARY CARE, INC.
Active
Other names
HealthAlliance Pediatric Hospitalists Group
Organization subpart
No
Provider details
NPI number
Authorized official
PHYLLIS FABELLO (EXEC DIRECTOR)
(978) 466-4268
Entity
Organization
Contact information
Practice address
60 HOSPITAL RD, LEOMINSTER, MA 01453-2205
(978) 466-2257
(978) 466-2291
Mailing address
60 HOSPITAL RD, LEOMINSTER, MA 01453-2205
(978) 466-2257
(978) 466-2291
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
MA
208M00000X
Hospitalist Physician
Primary
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110072006A
—
MA
01
—
M20928
MEDICARE GROUP NUMBER
MA
Enumeration date
02/03/2010
Last updated
02/03/2010
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