Healthcare Provider Details

I. General information

NPI: 1821711268
Provider Name (Legal Business Name): AFC PHYSICIANS OF MASSACHUSETTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2022
Last Update Date: 08/19/2024
Certification Date: 08/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

926 W BOYLSTON ST
WORCESTER MA
01606-1141
US

IV. Provider business mailing address

PO BOX 748352
ATLANTA GA
30374-8352
US

V. Phone/Fax

Practice location:
  • Phone: 774-243-2805
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JAMES BRENNAN
Title or Position: PRESIDENT
Credential:
Phone: 205-403-8902