Organization
IBIS HEALTH SERVICES- MASSACHUSETTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY M JANKO (ADMIINISTRATOR)
(978) 635-9090
Entity
Organization
Contact information
Practice address
8 MILL RD, HARVARD, MA 01451-1311
(978) 635-9090
Mailing address
215 AYER RD UNIT 797, HARVARD, MA 01451-5033
(978) 635-9090
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
04/27/2018
Last updated
08/21/2023
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