HALLMARK HEALTH MEDICAL ASSOCIATES INC

MEDFORD, MA
NPI1770563900
Former Legal Business NameELL POND MEDICAL ASSOCIATES INC
Entity TypeOrganization
Authorized ContactMICHAEL S TURILLI
Vice President Fiscal Services
781-338-7415
Organization Subpart ?Yes
Primary Taxonomy207Q00000X Family Medicine
Additional Taxonomies207R00000X Internal Medicine
207V00000X Obstetrics & Gynecology
207RG0100X Internal Medicine, Gastroenterology
208600000X Surgery
207RG0300X Internal Medicine, Geriatric Medicine
207VX0201X Obstetrics & Gynecology, Gynecologic Oncology
207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)
207RR0500X Internal Medicine, Rheumatology
367A00000X Advanced Practice Midwife
363LF0000X Nurse Practitioner, Family
363LA2200X Nurse Practitioner, Adult Health
363LX0001X Nurse Practitioner, Obstetrics & Gynecology
363LP2300X Nurse Practitioner, Primary Care
Enumeration Date2006-01-23
Last Update Date2009-11-18
Business Address
HALLMARK HEALTH MEDICAL ASSOCIATES INC
170 GOVERNORS AVE ATTN: PROVIDER ENROLLMENT
MEDFORD, MA 02155-1643
Phone number: 781-338-7521
Mailing Address
HALLMARK HEALTH MEDICAL ASSOCIATES INC
PO BOX 3237
WOBURN, MA 01888-3237
Phone number: 781-338-7170