Healthcare Provider Details

I. General information

NPI: 1588609655
Provider Name (Legal Business Name): ASSOCIATED HEALTH CARE GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/20/2006
Last Update Date: 03/06/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

180 EXCHANGE ST
MALDEN MA
02148-5514
US

IV. Provider business mailing address

101 BRICK KILN RD BLDG 1, UNIT 5
CHELMSFORD MA
01824-3282
US

V. Phone/Fax

Practice location:
  • Phone: 781-397-6945
  • Fax:
Mailing address:
  • Phone: 978-250-0230
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: FREDERICK GIAMPA
Title or Position: CO-OWNER
Credential:
Phone: 978-250-0230