Medigroup Pc in Randolph - Neuromusculoskeletal Medicine, Sports Medicine
Medigroup Pc - NPI 1669588372
Medigroup Pc is a Neuromusculoskeletal Medicine, Sports Medicine in Randolph, Massachusetts. Medigroup Pc practices all healthcare services and medical treatments related to Neuromusculoskeletal Medicine, Sports Medicine. The NPI Number for Medigroup Pc is 1669588372. The last update date is 2007-09-10.
Medigroup Pc's current location address is 4 Frank Leary Way, Randolph, Massachusetts. You can contact this provider via phone number 7819861737 and fax number 7819860507. The mailing address for Medigroup Pc is 4 Frank Leary Way, Randolph, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Medigroup Pc |
|---|---|
| Address | 4 Frank Leary Way, Randolph, Massachusetts |
| Phone Number | 7819861737 |
| Fax Number | 7819860507 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Weiner Mark |
| Credentials | M.D. |
| Telephone Number | 7819861737 |
NPI Number Detail
| NPI Number | 1669588372 |
|---|---|
| Provider Enumeration Date | 2006-08-23 |
| Last Updated Date | 2007-09-10 |
Provider Mailing Address Detail
| Address | 4 Frank Leary Way |
|---|---|
| City | Randolph |
| State | Massachusetts (MA) |
| Post Code | 23684512 |
| Phone Number | 7819861737 |
| Fax Number | 7819860507 |
Provider's Primary Taxonomy Detail
| Speciality | Neuromusculoskeletal Medicine, Sports Medicine |
|---|---|
| Taxonomy | 204C00000X |
| Licence No | 54262 |
|
Definition: A Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician trained to be responsible for the continuous care in the field of sports medicine encompasses increased knowledge and understanding of osteopathic principles and practice |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9725288 | MA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Medigroup Pc by the Centers for Medicare & Medicaid Services (CMS)?
The Medigroup Pc has been assigned the NPI (National Provider Identifier) 1669588372. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Medigroup Pc?
The Medigroup Pc is physically situated at 4 Frank Leary Way, in the city of Randolph, state of MA, with the postal code 23684512.
What is Medigroup Pc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Medigroup Pc is Neuromusculoskeletal Medicine, Sports Medicine, and the taxonomy code that categorizes this field of expertise is 204C00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1669588372 to Medigroup Pc?
The Centers for Medicare & Medicaid Services assigned the 1669588372 to Medigroup Pc on 2006-08-23.
As of what date were the Medigroup Pc's details last updated?
The information pertaining to the Medigroup Pc, including its address, specialty, and other details, was most recently updated on 2007-09-10.