Somerville Family Practice

NPI 1194791038 - Family Medicine - 207Q00000X

NPI Details
NPI 1194791038
Enumeration Date 02/28/2006
Last Updated 12/13/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name MAURICE JOSEPH MAURICE
Position OWNER
Phone (617) 628-2160
Fax (617) 628-8237
Practice Location
1020 BROADWAY
SOMERVILLE MA, 02144, US
Phone (617) 628-2160
Fax (617) 628-8237
Business Location
1020 BROADWAY
SOMERVILLE MA, 02144, US
Phone (617) 628-2160
Fax (617) 628-8237
Toxanomy
Taxonomy Code 207Q00000X
License State
License Number
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According to our database, Somerville Family Practice NPI is 1194791038, taxonomy code is 207Q00000X Somerville Family Practice physically located at 1020 Broadway, Somerville MA, 02144. NPI Number 1033115704 has the healthcare provider type.

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1194791038 NPI number is provided on an as is basis without warranty of any kind. 1194791038 is maintained by the National Plan & Provider Enumeration System. The contents of Somerville Family Practice are for informational purposes only.