NPI Provider: 1003242751
Contact Name: FREDETTE D. RAYMOND
Position: EXECUTIVE VICE PRESIDENT
Phone: (978) 466-4033
Tak Medical Group, P.c. Information:
Tak Medical Group, P.c. organization have npi 1003242751, taxonomy code is 207RC0200X with license number is in . This Business address located in 48 NELSON STREET, LEOMINSTER, MA 14531 Massachusetts.
Practice Location
Address: 133 OLD ROAD TO 9 ACRE COR, CONCORD, MA 17424
Phone: (978) 466-4396
Business Location
Address: 48 NELSON STREET, LEOMINSTER, MA 14531
Phone: (978) 466-4396
Fax: (978) 466-4029
Taxonomy
Taxonomy Code: 207RC0200X
License Number:
License Number of State:
Primary Taxonomy Switch: Y
Enumeration Date: 9/25/13
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