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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