Individual
GREGORY ROBERT BACOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
260 FORDHAM RD, WILMINGTON, MA 01887-2170
(978) 315-1011
Mailing address
260 FORDHAM RD, WILMINGTON, MA 01887-2170
(978) 315-1011
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/24/2013
Last updated
10/27/2023
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