Provider Demographics
NPI:1588609655
Name:ASSOCIATED HEALTH CARE GROUP
Entity Type:Organization
Organization Name:ASSOCIATED HEALTH CARE GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FREDERICK
Authorized Official - Middle Name:
Authorized Official - Last Name:GIAMPA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-250-0230
Mailing Address - Street 1:101 BRICK KILN RD
Mailing Address - Street 2:BLDG 1, UNIT 5
Mailing Address - City:CHELMSFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01824-3282
Mailing Address - Country:US
Mailing Address - Phone:978-250-0230
Mailing Address - Fax:
Practice Address - Street 1:180 EXCHANGE ST
Practice Address - Street 2:
Practice Address - City:MALDEN
Practice Address - State:MA
Practice Address - Zip Code:02148-5514
Practice Address - Country:US
Practice Address - Phone:781-397-6945
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-20
Last Update Date:2008-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA9763571Medicaid
MAM18793OtherBCBS
MAM21585Medicare PIN