Healthcare Provider Details

I. General information

NPI: 1427182401
Provider Name (Legal Business Name): ASHBURNHAM FAMILY MEDICINE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

61 MAIN STREET
ASHBURNHAM MA
01453
US

IV. Provider business mailing address

61 MAIN STREET PO BOX 658
ASHBURNHAM MA
01453
US

V. Phone/Fax

Practice location:
  • Phone: 978-827-5167
  • Fax: 978-827-5002
Mailing address:
  • Phone: 978-827-5167
  • Fax: 978-827-5002

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number59975
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number206432
License Number StateMA

VIII. Authorized Official

Name: PATRICIA LABAIRE
Title or Position: PRESIDENT
Credential: MD
Phone: 978-827-5167