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Organization

FAMILY CARE CENTERS PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EWILLS WILLS (BILLING MANAGER)
(781) 756-7273
Entity
Organization

Contact information

Practice address
3 WOODLAND RD, 100, STONEHAM, MA 02180-1702
(781) 662-6400
(781) 662-2965
Mailing address
PO BOX 760, WINCHESTER, MA 01890-4260
(781) 756-7273
(781) 756-7274

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
155761
MA
207Q00000X
Family Medicine Physician
Primary
159117
MA
207Q00000X
Family Medicine Physician
182071
MA
207Q00000X
Family Medicine Physician
207703
MA
207Q00000X
Family Medicine Physician
216386
MA
207Q00000X
Family Medicine Physician
58295
MA
207Q00000X
Family Medicine Physician
72939
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0150142
MA
05
3198308
MA
05
9784896
MA
Enumeration date
11/18/2005
Last updated
04/09/2009
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