Organization
ACTON MEDICAL ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA M RUSSELL (HR MANAGER & CREDENTALIER)
(978) 635-8805
Entity
Organization
Contact information
Practice address
321 MAIN ST, ACTON, MA 01720-3718
(978) 635-8801
(978) 635-8920
Mailing address
321 MAIN ST, ACTON, MA 01720-3718
(978) 635-8801
(978) 635-8920
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110071215A
—
MA
01
—
M14933
MEDICARE
MA
Enumeration date
08/20/2006
Last updated
08/30/2024
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