Organization
PCA IN PEDIATRIC PRIMARY CARE LLC
Active
Organization
PCA IN PEDIATRIC PRIMARY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL F JACQUES PHD (OWNER)
(781) 646-0500
Entity
Organization
Contact information
Practice address
12 ALFRED ST, SUITE 200, WOBURN, MA 01801-1972
(781) 646-0500
(781) 646-7130
Mailing address
12 ALFRED ST, SUITE 200, WOBURN, MA 01801-1972
(781) 646-0500
(781) 646-7130
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
11/26/2013
Last updated
11/26/2013
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