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COMPASSIONATE CARE PHYSICIANS LLC NPI 1306403613


NPI Information

NPI: 1306403613
Provider Name: COMPASSIONATE CARE PHYSICIANS LLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 22D2078324

Address:
9 MILL AND MAIN PL STE 101
MAYNARD, MA
ZIP 01754
Phone: (978) 823-0023
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COMPASSIONATE CARE PHYSICIANS LLC is a primary care clinic center in Maynard, MA. COMPASSIONATE CARE PHYSICIANS LLC NPI is 1306403613. The provider is registered as an organization entity type.

The provider's business location address is:

9 MILL AND MAIN PL STE 101
MAYNARD, MA
ZIP 01754-651
Phone: (978) 823-0023
Fax: (978) 823-0000

The provider's authorized official is Karen M Fanucci .
The authorized official title is Owner and has the following contact phone number (978) 823-0023.

The CLIA number assigned to this NPI record is 22D2078324 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/22/2019 and was last updated on 5/22/2019.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QP2300XClinic/CenterPrimary CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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