Organization
GREATER LOWELL FAMILY PRACTICE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE NEWTON M.D. (OFFICE MANAGER)
(978) 851-4141
Entity
Organization
Contact information
Practice address
600 CLARK RD, TEWKSBURY, MA 01876-1699
(978) 453-8446
(978) 453-0621
Mailing address
600 CLARK RD, TEWKSBURY, MA 01876-1699
(978) 851-4141
(978) 788-7911
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0020561
NEIGHBORHOOD HEALTH
MA
01
—
0101333
UNITED HEALTHCARE
MA
01
—
103269000
FEDERAL WORKERS COMP.
MA
01
—
38888
FALLON COMMUNITY HEALTH
MD
01
—
47300
CIGNA HEALTHCARE
MA
01
—
668793
TUFTS HEALTH PLAN
MA
05
—
9785329
—
MA
01
—
CH0509
RAILROAD MEDICARE
MA
01
—
M17209
BLUE CROSS BLUE SHIELD
MA
Enumeration date
03/29/2006
Last updated
11/03/2020
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