Organization
COORDINATED PRIMARY CARE, INC
Active
Organization
COORDINATED PRIMARY CARE, INC
Active
Parent organization
CORDINATED PRIMARY CARE INC
Other names
CPC Multispecialty Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
CORDINATED PRIMARY CARE INC
Authorized official
PHYLLIS FABELLO (EXECUTIVE DIRECTOR)
(978) 466-4268
Entity
Organization
Contact information
Practice address
100 HOSPITAL RD, SUITE 1C, LEOMINSTER, MA 01453-2253
(978) 466-4212
(978) 466-4669
Mailing address
100 HOSPITAL RD, SUITE 1C, LEOMINSTER, MA 01453-2253
(978) 466-4212
(978) 466-4669
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M20928
MEDICARE GROUP NUMBER
MA
Enumeration date
04/23/2009
Last updated
06/11/2009
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