Organization
EASTERN MEDICAL ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FARAH HAKIM (PRESIDENT)
(774) 535-9641
Entity
Organization
Contact information
Practice address
290 TURNPIKE RD, STE # 150-414, WESTBOROUGH, MA 01581-2843
(774) 535-9641
Mailing address
290 TURNPIKE RD, STE # 150-414, WESTBOROUGH, MA 01581-2843
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
75082
MA
363A00000X
Physician Assistant
PA5654
MA
Other
Enumeration date
05/19/2016
Last updated
05/19/2016
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