Organization
COORDINATED PRIMARY CARE
Active
Parent organization
COORDINATED PRIMARY CARE
Other names
HealthAlliance Neurology
Organization subpart
Yes
Provider details
NPI number
Legal business name
COORDINATED PRIMARY CARE
Authorized official
PHYLLIS FABELLO (DIRECTOR CPC)
(978) 466-4243
Entity
Organization
Contact information
Practice address
50 MEMORIAL DRIVE, SUITE 211, LEOMINSTER, MA 01453
(978) 466-2411
(978) 537-9211
Mailing address
50 MEMORIAL DRIVE, SUITE 211, LEOMINSTER, MA 01453
(978) 466-2411
(978) 537-9211
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9771476
—
MA
Enumeration date
04/13/2006
Last updated
05/21/2008
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