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MIDDLESEX FAMILY PRACTICE PC NPI 1528073202


NPI Information

NPI: 1528073202
Provider Name: MIDDLESEX FAMILY PRACTICE PC

Former Legal Business Name: MIDDLESEX FAMILY PRACTICE PC

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 22D0958682

Address:
74 MAIN ST
FRAMINGHAM, MA
ZIP 01702
Phone: (508) 270-8844
Get Directions

MIDDLESEX FAMILY PRACTICE PC is a family medicine in Framingham, MA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MIDDLESEX FAMILY PRACTICE PC NPI is 1528073202. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Middlesex Family Practice Pc.

The provider's business location address is:

74 MAIN ST
FRAMINGHAM, MA
ZIP 01702-952
Phone: (508) 270-8844

The provider's authorized official is Emil Yagudin .
The authorized official title is Owner and has the following contact phone number (508) 270-8844.

The CLIA number assigned to this NPI record is 22D0958682 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/30/2006 and was last updated on 4/9/2018.


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
1207Q00000XFamily Medicine80763MASSACHUSETTSYes

Other Identifiers

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

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13140911MEDICAIDMASSACHUSETTS

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: 11/14/2023

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