Healthcare Provider Details

I. General information

NPI: 1386857399
Provider Name (Legal Business Name): COORDINATED PRIMAY CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

275 NICHOLS RD
FITCHBURG MA
01420-1931
US

IV. Provider business mailing address

1725 MENDON RD
CUMBERLAND RI
02864-4337
US

V. Phone/Fax

Practice location:
  • Phone: 978-466-2000
  • Fax:
Mailing address:
  • Phone: 401-334-2423
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL COFONE
Title or Position: CFO
Credential:
Phone: 978-466-2185