Organization
NORTH QUABBIN FAMILY PHYSICIANS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY E SOULE-REGINE M.D. (VICE-PRESIDENT)
(978) 249-0099
Entity
Organization
Contact information
Practice address
201 S MAIN ST, ATHOL, MA 01331-2102
(978) 249-0099
(978) 249-7227
Mailing address
201 S MAIN ST, ATHOL, MA 01331-2102
(978) 249-0099
(978) 249-7227
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9761055
—
MA
Enumeration date
05/12/2006
Last updated
08/22/2020
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