Pca In Pediatric Primary Care LLC
Psychologist, Counseling in Woburn, Massachusetts
1013347103- Practice location
- 12 Alfred St, Suite 200, Woburn, MA 01801-1972
- Phone
- 781-646-0500
- Fax
- 781-646-7130
- Last updated
- November 26, 2013
Pca In Pediatric Primary Care LLC is a healthcare organization based in Woburn, MA. Pca In Pediatric Primary Care LLC practices in Woburn, MA. The NPI Number for Pca In Pediatric Primary Care LLC is 1013347103. The current practice location address for Pca In Pediatric Primary Care LLC is 12 Alfred St, Suite 200, Woburn, MA 01801-1972 and can be reached out via phone at 781-646-0500 and via fax at 781-646-7130.
Provider Profile Details
- NPI Number
- 1013347103
- Provider Name
- Pca In Pediatric Primary Care LLC
- Provider Entity Type
- Organization
- Address
- 12 Alfred St, Suite 200, Woburn, MA 01801-1972
- Phone Number
- 781-646-0500
- Fax Number
- 781-646-7130
- Primary Taxonomy
- Psychologist, Counseling · 103TC1900X
- Organization Subpart
- No
- Authorized Official
- Dr. Michael F Jacques, PHD · Owner · 781-646-0500
- Provider Enumeration Date
- November 26, 2013
- Last Update Date
- November 26, 2013
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 12 Alfred St
Suite 200
Woburn, MA 01801-1972 - City
- Woburn
- State
- Massachusetts
- Zip
- 01801-1972
- Phone Number
- 781-646-0500
- Fax Number
- 781-646-7130
Provider Business Mailing Address Details
- Address
- 12 Alfred St
Suite 200
Woburn, MA 01801-1972 - City
- Woburn
- State
- MA
- Zip
- 01801-1972
- Phone Number
- 781-646-0500
- Fax Number
- 781-646-7130
License Information
- Taxonomy
- Psychologist, Counseling · 103TC1900X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Pca In Pediatric Primary Care LLC?
The NPI number of Pca In Pediatric Primary Care LLC is 1013347103. It was assigned on November 26, 2013 and is currently active in the NPPES registry.
What is the specialty of Pca In Pediatric Primary Care LLC?
Pca In Pediatric Primary Care LLC is registered under the primary taxonomy Psychologist, Counseling (code 103TC1900X).
Where does Pca In Pediatric Primary Care LLC practice?
The practice location is 12 Alfred St, Suite 200, Woburn, MA 01801-1972. The office can be reached at 781-646-0500 (phone) or 781-646-7130 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013347103 directly on the NPPES registry website.