Healthcare Provider Details

I. General information

NPI: 1396323143
Provider Name (Legal Business Name): UNITED MEDICAL CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/01/2021
Last Update Date: 04/01/2021
Certification Date: 04/01/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28 RIVERSIDE DR STE 101
PEMBROKE MA
02359-4947
US

IV. Provider business mailing address

287 SUMMER ST
NORWELL MA
02061-1029
US

V. Phone/Fax

Practice location:
  • Phone: 508-971-5500
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number
License Number State

VIII. Authorized Official

Name: JEAN-PIERRE GEAGEA
Title or Position: MANAGER
Credential: MD
Phone: 508-971-5500