Organization
HEALTH AWARENESS SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PATTI PARKER NURSE PRACTITIONER (CO-DIRECTOR OF CLINICAL SERVICES)
(508) 485-8792
Entity
Organization
Contact information
Practice address
200 E MAIN ST, BUILDING 2, MARLBOROUGH, MA 01752-2638
(508) 485-8792
(508) 485-8793
Mailing address
200 E MAIN ST, BUILDING 2, MARLBOROUGH, MA 01752-2638
(508) 485-8792
(508) 485-8793
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
763435
TUFTS HEALTH PLAN
MA
05
—
9749497
—
MA
01
—
NPG005
BLUE CROSS BLUE SHIELD
MA
Enumeration date
01/24/2007
Last updated
11/10/2009
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