Organization
SKYLIGHT HEALTH GROUP MA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE GLUCHACKI (PRESIDENT CLINICAL OPERATIONS)
(508) 689-9706
Entity
Organization
Contact information
Practice address
938 MA-6A, YARMOUTHPORT, MA 02675
(844) 644-8880
(781) 859-4190
Mailing address
82 HARTWELL ST, FALL RIVER, MA 02721-3025
(508) 689-9706
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/30/2020
Last updated
11/24/2020
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