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Organization

TAK MEDICAL GROUP, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RAYMOND D. FREDETTE. (EXECUTIVE VICE PRESIDENT)
(978) 466-4033
Entity
Organization

Contact information

Practice address
60 HOSPITAL ROAD., LEOMINSTER, MA 01453-2134
(978) 466-4396
(978) 466-4029
Mailing address
48 NELSON ST, LEOMINSTER, MA 01453-2134
(978) 466-4396
(978) 466-4029

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MA
208M00000X
Hospitalist Physician
Primary
MA

Other

Enumeration date
01/22/2013
Last updated
03/27/2013
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