MEDICARE: PHYSICIAN HOUSE CALLS PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician		MA

General Provider Information

NPI Number	:	1255334975
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PHYSICIAN HOUSE CALLS PC

Provider Business Mailing Address
First Line	:	949 CENTRE ST
Second Line	:
City	:	NEWTON
State	:	MA
Zip	:	02459-1235
Country	:	US
Telephone Number	:	617-519-6099
Fax Number	:

Provider Business Practice Location Address
First Line	:	949 CENTRE ST
Second Line	:
City	:	NEWTON
State	:	MA
Zip	:	02459-1235
Country	:	US
Telephone Number	:	617-519-6099
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JUDITH GILMARTIN PACKER
Credential	:	M.D.
Telephone Number	:	617-519-6099

Provider Enumeration Date	:	05/27/2005
Last Update Date	:	07/21/2022

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Directions to “PHYSICIAN HOUSE CALLS PC ” Practice Location

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