Organization
FAMILY PRACTICE GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER HILLERY (ADMINISTRATOR)
(781) 648-9700
Entity
Organization
Contact information
Practice address
11 WATER ST, SUITE 1A, ARLINGTON, MA 02476-4812
(781) 648-9700
(781) 648-0234
Mailing address
11 WATER ST, SUITE 1A, ARLINGTON, MA 02476-4812
(781) 648-9700
(781) 648-0234
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9711635
—
MA
Enumeration date
01/02/2007
Last updated
07/16/2010
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