Organization
LEGACY HEALTH ALLIANCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUELLEN DUQUE DNP, FNP, C-NP (PROVIDER)
(508) 658-2246
Entity
Organization
Contact information
Practice address
65 FREMONT ST OFC 6, MARLBOROUGH, MA 01752-1271
(508) 658-2246
Mailing address
65 FREMONT ST OFC 6, MARLBOROUGH, MA 01752-1271
(508) 658-2246
(508) 785-7969
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
02/08/2025
Last updated
10/29/2025
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