Healthcare Provider Details

I. General information

NPI: 1093306052
Provider Name (Legal Business Name): AFC PHYSICIANS OF MASSACHUSETTS, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/01/2021
Last Update Date: 06/03/2024
Certification Date: 06/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

38 BOSTON POST RD W
MARLBOROUGH MA
01752-1827
US

IV. Provider business mailing address

136 DWIGHT RD
LONGMEADOW MA
01106-2075
US

V. Phone/Fax

Practice location:
  • Phone: 508-658-0764
  • Fax:
Mailing address:
  • Phone: 413-565-3181
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: JAMES BRENNAN
Title or Position: CEO
Credential:
Phone: 413-565-3181