Organization
CHELMSFORD PRIMARY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FREDERICK W WIKANDER M.D. (MANAGING PARTNER)
(978) 256-5522
Entity
Organization
Contact information
Practice address
2 MEETING HOUSE RD, CHELMSFORD, MA 01824-2700
(978) 256-5522
(978) 256-5399
Mailing address
2 MEETING HOUSE RD, CHELMSFORD, MA 01824-2700
(978) 256-5522
(978) 256-5399
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
44959
NETWORK HEALTH GROUP NUMB
MA
01
—
51761
FALLON GROUP NUMBER
MA
01
—
689682
TUFTS GROUP NUMBER
MA
05
—
9707930
—
MA
01
—
CH6549
MEDICARE RR NUMBER
MA
01
—
M17730
BLUE CROSS GROUP NUMBER
MA
Enumeration date
02/12/2007
Last updated
08/22/2020
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