Healthcare Provider Details

I. General information

NPI: 1023955861
Provider Name (Legal Business Name): COMPLETE PRIMARY CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2026
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

175 ANDOVER ST STE 101
DANVERS MA
01923-1443
US

IV. Provider business mailing address

22 EVERGREEN LN
GROVELAND MA
01834-2033
US

V. Phone/Fax

Practice location:
  • Phone: 617-966-5051
  • Fax:
Mailing address:
  • Phone: 617-966-5051
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JOSEPH EDWARD AUGUST
Title or Position: PRESIDENT
Credential: MD
Phone: 617-966-5051