MEDICARE: AFC PHYSICIANS OF MASSACHUSETTS, PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208D00000X	General Practice Physician
2	261QU0200X	Urgent Care Clinic/Center

General Provider Information

NPI Number	:	1093306052
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AFC PHYSICIANS OF MASSACHUSETTS, PC

Provider Business Mailing Address
First Line	:	136 DWIGHT RD
Second Line	:
City	:	LONGMEADOW
State	:	MA
Zip	:	01106-2075
Country	:	US
Telephone Number	:	413-565-3181
Fax Number	:

Provider Business Practice Location Address
First Line	:	38 BOSTON POST RD W
Second Line	:
City	:	MARLBOROUGH
State	:	MA
Zip	:	01752-1827
Country	:	US
Telephone Number	:	508-658-0764
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	JAMES BRENNAN
Credential	:
Telephone Number	:	413-565-3181

Provider Enumeration Date	:	02/01/2021
Last Update Date	:	06/03/2024

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