Groton Medical Wellness Spa Llc in Groton - General Practice
Groton Medical Wellness Spa Llc - NPI 1275796351
Groton Medical Wellness Spa Llc is a General Practice in Groton, Massachusetts. Groton Medical Wellness Spa Llc practices all healthcare services and medical treatments related to General Practice. The NPI Number for Groton Medical Wellness Spa Llc is 1275796351. The last update date is 2009-10-16.
Groton Medical Wellness Spa Llc's current location address is 493 Main St, Groton, Massachusetts. You can contact this provider via phone number 9784499919. The mailing address for Groton Medical Wellness Spa Llc is 493 Main St, Groton, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Groton Medical Wellness Spa Llc |
|---|---|
| Address | 493 Main St, Groton, Massachusetts |
| Phone Number | 9784499919 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Nordin-Evans M Jean |
| Credentials | DDS |
| Telephone Number | 9784499919 |
NPI Number Detail
| NPI Number | 1275796351 |
|---|---|
| Provider Enumeration Date | 2008-07-08 |
| Last Updated Date | 2009-10-16 |
Provider Mailing Address Detail
| Address | 493 Main St |
|---|---|
| City | Groton |
| State | Massachusetts (MA) |
| Post Code | 14504254 |
| Phone Number | 9784499919 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
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Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
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What is the unique 10-digit identification code issued to Groton Medical Wellness Spa Llc by the Centers for Medicare & Medicaid Services?
The Groton Medical Wellness Spa Llc has been assigned the NPI (National Provider Identifier) 1275796351 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Groton Medical Wellness Spa Llc's facilities are geographically located?
The facilities of Groton Medical Wellness Spa Llc are physically situated at the following location: 493 Main St, Groton, MA, 14504254.
What is Groton Medical Wellness Spa Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Groton Medical Wellness Spa Llc's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 208D00000X.
On what date did the Groton Medical Wellness Spa Llc receive its 1275796351 assignment from the Centers for Medicare & Medicaid Services?
The Groton Medical Wellness Spa Llc was assigned its 1275796351 by the Centers for Medicare & Medicaid Services on 2008-07-08.
When was the Groton Medical Wellness Spa Llc's information last updated?
The Groton Medical Wellness Spa Llc's information was last updated on 2009-10-16.