Organization
COORDINATED PRIMARY CARE, INC.
Active
Other names
HealthAlliance Pediatric Hospitalists Group
Organization subpart
No
Provider details
NPI number
Authorized official
PHYLLIS FABELLO (EXEC DIRECTOR)
(978) 466-4268
Entity
Organization
Contact information
Practice address
60 HOSPITAL RD, LEOMINSTER, MA 01453-2205
(978) 466-2257
(978) 466-2291
Mailing address
60 HOSPITAL RD, LEOMINSTER, MA 01453-2205
(978) 466-2257
(978) 466-2291
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
MA
208M00000X
Hospitalist Physician
Primary
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110072006A
—
MA
01
—
M20928
MEDICARE GROUP NUMBER
MA
Enumeration date
02/03/2010
Last updated
02/03/2010
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