Organization
COMMUNITY HEALTHCARE ALLIANCE, PLLC
Active
Other names
BURLINGTON PAIN CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THEODORE TREIBICK MD (MANAGER)
(978) 505-9897
Entity
Organization
Contact information
Practice address
400 TRADECENTER STE 5900, WOBURN, MA 01801-7471
(781) 272-9500
(855) 870-4649
Mailing address
417 ELK RUN RD, HUDSON, NH 03051-3542
(978) 505-9897
(855) 870-4649
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
46320
MA
208D00000X
General Practice Physician
Primary
—
—
261QP3300X
Pain Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110139607A
—
MA
01
—
200057131054
CIGNA
—
01
—
6127523
AETNA
—
01
—
648404
TUFTS
MA
01
—
70010000M21502
BCBSMA
—
Enumeration date
04/11/2018
Last updated
04/10/2024
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