Organization
MEDIGROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK WEINER M.D. (PRESIDENT)
(781) 986-1737
Entity
Organization
Contact information
Practice address
20 TREMONT ST, SUITE 20, DUXBURY, MA 02332-5310
(781) 934-9741
(866) 480-4671
Mailing address
4 FRANK LEARY WAY, RANDOLPH, MA 02368-4512
(781) 986-1737
(866) 480-4671
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SF065069
BCBSMA
MA
Enumeration date
05/13/2008
Last updated
05/13/2008
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