Organization
ATLANTIC PRIMARY CARE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NAHID B KENNEDY D.O. (PRESIDENT)
(781) 871-5030
Entity
Organization
Contact information
Practice address
135 WEBSTER ST, HANOVER, MA 02339-1200
(781) 871-5030
(781) 871-5480
Mailing address
PO BOX 2302, HANOVER, MA 02339-8301
(781) 871-5030
(781) 871-5480
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
79640
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3142540
—
MA
Enumeration date
03/07/2006
Last updated
09/01/2011
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