Organization
COORDINATED PRIMARY CARE
Active
Other names
Oncology Associates
Organization subpart
No
Provider details
NPI number
Authorized official
PHYLLIS FABELLO (DIRECTOR COORDINATOR PRIMARY CARE)
(978) 466-4243
Entity
Organization
Contact information
Practice address
275 NICHOLS RD, FITCHBURG, MA 01420
(978) 343-5048
(978) 343-5549
Mailing address
60 HOSPITAL RD, LEOMINSTER, MA 01453
(978) 466-4243
(978) 466-2238
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
—
—
363L00000X
Nurse Practitioner
Primary
M20928
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
977147C
—
MA
01
—
M20928
MEDICARE GROUP
MA
Enumeration date
11/18/2005
Last updated
03/20/2008
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