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NPI Code Detail

MEDICARE: PARTNERS OF MASSACHUSETTS, LLC

MEDICARE: PARTNERS OF MASSACHUSETTS, LLC
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
13336L0003XLong Term Care Pharmacy3419MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12241153OTHERNCPDP NUMBER
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
43419OTHERMAMA PHARMACY LICENSE
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1508897695
Entity Type Code : Organization
Provider Name (Legal Business Name) : PARTNERS OF MASSACHUSETTS, LLC
Provider Business Mailing Address
First Line : 181 CEDAR HILL ST
Second Line : SUITE 1
City : MARLBOROUGH
State : MA
Zip : 01752-3035
Country : US
Telephone Number : 508-624-8880
Fax Number : 508-624-8890
Provider Business Practice Location Address
First Line : 181 CEDAR HILL ST
Second Line :
City : MARLBOROUGH
State : MA
Zip : 01752-3035
Country : US
Telephone Number : 508-624-8880
Fax Number : 508-624-8890
Authorized Official
Title or Position : COO
Name : JAMES MATTHEWS
Credential :
Telephone Number : 609-206-2664
Provider Enumeration Date : 07/06/2006
Last Update Date : 09/06/2023

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Directions to “PARTNERS OF MASSACHUSETTS, LLC ” Practice Location

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