Organization
FAMILY MEDICAL & MATERNITY CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AUDREY TRACEY MD (OWNER)
(978) 534-8701
Entity
Organization
Contact information
Practice address
87 NORTH MAIN ST, LEOMINSTER, MA 01453
(978) 534-8701
(978) 534-8705
Mailing address
87 NORTH MAIN ST, LEOMINSTER, MA 01453
(978) 534-8701
(978) 534-8705
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
152307
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9723111
—
MA
Enumeration date
11/14/2006
Last updated
04/02/2020
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