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NPI Code Detail

MEDICARE: MASS GENERAL BRIGHAM COMMUNITY PHYSICIANS ON DEMAND

MEDICARE: MASS GENERAL BRIGHAM COMMUNITY PHYSICIANS ON DEMAND
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
1261QU0200XUrgent Care Clinic/Center

General Provider Information

NPI Number : 1487163069
Entity Type Code : Organization
Provider Name (Legal Business Name) : MASS GENERAL BRIGHAM COMMUNITY PHYSICIANS ON DEMAND
Provider Business Mailing Address
First Line : 399 REVOLUTION DR STE 1010
Second Line :
City : SOMERVILLE
State : MA
Zip : 02145-1582
Country : US
Telephone Number : 857-282-2028
Fax Number : 857-282-5912
Provider Business Practice Location Address
First Line : 370 MERRIMACK ST
Second Line :
City : LAWRENCE
State : MA
Zip : 01843-1788
Country : US
Telephone Number : 978-557-8800
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : LYNN STOFER
Credential :
Telephone Number : 857-282-5157
Provider Enumeration Date : 09/26/2017
Last Update Date : 12/22/2025

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Directions to “MASS GENERAL BRIGHAM COMMUNITY PHYSICIANS ON DEMAND ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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