Fitchburg Adult Medicine Llc
LBN: Fitchburg Adult Medicine Llc
Fitchburg Adult Medicine Llc is an health care organization with primary practice located at 76 Summer St Suite 230, Fitchburg MA 01420-5783. The organization recently has only one registered license in Ambulatory Health Care Facilities / Health Service, which is considered as the primary health care specialty.
Fitchburg Adult Medicine Llc can be contacted via phone (978) 342-6018, or through Wolejko, Raymond Edward via phone (978) 342-6018.
Contact Information
Primary practice address
76 Summer St Suite 230
Fitchburg MA 01420-5783
Phone: (978) 342-6018
Fax: (978) 343-4281
Website:
Authorized official contact:
Name: Wolejko, Raymond Edward Doctor of Medicine (MD)
Phone: (978) 342-6018
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Health Service | 261QH0100X | 45633 | Massachusetts |
Profile Details
| NPI number | 1073647855 |
|---|---|
| LBN Legal business name | Fitchburg Adult Medicine Llc |
| DBA Doing business as | |
| Authorized official | Wolejko, Raymond Edward Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 15th, 2007 |
| Last updated | Jan 28th, 2008 - about 17 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073647855 | NPPES |
| Massachusetts | Other | 0003445 | MEDICARE PTAN |
| Massachusetts | MEDICAID | 9709029 | MEDICARE PTAN |
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