Healthcare Provider Details

I. General information

NPI: 1568541878
Provider Name (Legal Business Name): COORDINATED PRIMARY CARE DBA MATERNAL FETAL MONITORING ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/06/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

60 HOSPITAL RD
LEOMINSTER MA
01453-2205
US

IV. Provider business mailing address

1725 MENDON RD SUITE 207
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 TaxonomyY
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: ELLEN DELPAPA
Title or Position: AUTHORIZED OFFFICIAL
Credential: MD
Phone: 978-466-2000