Organization
MILL CITY MEDICAL GROUP LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID C PICKUL MD (PRESIDENT)
(978) 970-1607
Entity
Organization
Contact information
Practice address
45 PALMER STREET, LOWELL, MA 01852
(978) 970-1607
(978) 970-1115
Mailing address
45 PALMER STREET, LOWELL, MA 01852
(978) 970-1607
(978) 970-1115
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9719628
—
MA
Enumeration date
07/12/2006
Last updated
08/22/2020
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