Organization Name: | PRIMARY CARE SPECIALISTS INC. |
NPI Number: | 1346208196 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TERRANCE C HACK (PRESIDENT/OWNER) |
Mailing Address: | 190 Groton Rd Suite 110 Ayer |
State: | MA US |
Postal Code: | 014321124 |
Phone Number: | 9787722780 |
Fax Number: | 9787726959 |
NPI Enumeration Date: | 05/02/2006 |
NPI Last Update Date: | 10/20/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |