Provider Demographics
NPI:1326573189
Name:WINCHESTER PHYSICIAN ASSOCIATES INC
Entity Type:Organization
Organization Name:WINCHESTER PHYSICIAN ASSOCIATES INC
Other - Org Name:FAMILY CARE CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:EILEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:WELLS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-756-7273
Mailing Address - Street 1:2345 MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:TEWSBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01876
Mailing Address - Country:US
Mailing Address - Phone:978-658-9931
Mailing Address - Fax:978-694-0991
Practice Address - Street 1:2345 MAIN STREET
Practice Address - Street 2:
Practice Address - City:TEWSBURY
Practice Address - State:MA
Practice Address - Zip Code:01876
Practice Address - Country:US
Practice Address - Phone:978-658-9931
Practice Address - Fax:978-694-0991
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WINCHESTER PHYSICIAN ASSOCIATES INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-04-28
Last Update Date:2017-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty