FITCHBURG ADULT MEDICINE LLC NPI 1073647855

NPI Information

FITCHBURG ADULT MEDICINE LLC is a health service clinic center in Fitchburg, MA. FITCHBURG ADULT MEDICINE LLC NPI is 1073647855. The provider is registered as an organization entity type.

The provider's business location address is:

76 SUMMER ST
SUITE 230
FITCHBURG, MA
ZIP 01420-783
Phone: (978) 342-6018
Fax: (978) 343-4281

The provider's authorized official is Raymond Edward Wolejko .
The authorized official title is Managing Partner and has the following contact phone number (978) 342-6018.

The enumeration date for this NPI number is 3/15/2007 and was last updated on 1/28/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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