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Medigroup Pc
Sports Medicine (Neuromusculoskeletal Medicine) Physician in Randolph, Massachusetts
NPI 1669588372

Medigroup Pc is a Sports Medicine (Neuromusculoskeletal Medicine) Physician based in Randolph, MA. Medigroup Pc practices in Randolph, MA. The NPI Number for Medigroup Pc is 1669588372 and holds a License No. 54262 (Massachusetts).

The current practice location address for Medigroup Pc is 4 Frank Leary Way, Randolph, MA and can be reached out via phone at 781-986-1737 and via fax at 781-986-0507.

Location: 4 Frank Leary Way, Randolph, MA, 02368-4512
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1669588372
Provider Name
Medigroup Pc
Credential
Provider Entity Type
Organization
Address
4 Frank Leary Way, Randolph, MA, 02368-4512
Phone Number
781-986-1737
Fax Number
781-986-0507
Provider Enumeration Date
08/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
9725288 05 MA
institution
Provider Business Practice Location Address Details
Address
4 Frank Leary Way
City
Randolph
State
Massachusetts
Zip
02368-4512
Phone Number
781-986-1737
Fax Number
781-986-0507
person
Provider Business Mailing Address Details
Address
4 Frank Leary Way
City
Randolph
State
Massachusetts
Zip
02368-4512
Phone Number
781-986-1737
Fax Number
781-986-0507
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Neuromusculoskeletal Medicine, Sports Medicine
Speciality
-
Taxonomy
204C00000X
License No.
54262 (Massachusetts)
Definition
Definition to come.
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