Organization
SUCCOR PRIMARY CARE INC
Active
Organization
SUCCOR PRIMARY CARE INC
Active
Other names
Succor Primary Care, P.C
Organization subpart
No
Provider details
NPI number
Authorized official
LELIA JANICE MAGOBA NURSE PRACTITIONER (PRESIDENT)
(781) 358-8633
Entity
Organization
Contact information
Practice address
24 CRESCENT ST STE 407, WALTHAM, MA 02453-4309
(781) 358-8633
(781) 205-7602
Mailing address
24 CRESCENT ST STE 407, WALTHAM, MA 02453-4309
(781) 358-8633
(781) 205-7602
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/20/2021
Last updated
03/16/2022
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