NPI | 1356315899 |
---|---|
Doing Business As | QUINCY MEDICAL GROUP PITTSFIELD AFFILIATE |
Entity Type | Organization |
Authorized Contact | PATTY WOERMAN Credentialing Specialist 217-222-6550 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
Enumeration Date | 2006-02-13 |
Last Update Date | 2021-12-20 |