Organization
PRIMARY CARE CLINIC BOSTON PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANKUR A PATEL MD (OWNER)
(617) 875-5681
Entity
Organization
Contact information
Practice address
2100 DORCHESTER AVE BLDG SUITE314, DORCHESTER, MA 02124-5615
(617) 296-0720
(617) 296-5166
Mailing address
16 HONEYSUCKLE LN, HANOVER, MA 02339-3113
(617) 875-5681
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
12/13/2017
Last updated
09/24/2018
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