Provider Demographics
NPI:1952725756
Name:MASSACHUSETTS EXPRESS CARE PLLC
Entity Type:Organization
Organization Name:MASSACHUSETTS EXPRESS CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:M
Authorized Official - Last Name:WHELAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:781-626-5161
Mailing Address - Street 1:330 WASHINGTON STREET
Mailing Address - Street 2:
Mailing Address - City:WEYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02188
Mailing Address - Country:US
Mailing Address - Phone:781-626-5160
Mailing Address - Fax:781-803-2645
Practice Address - Street 1:330 WASHINGTON STREET
Practice Address - Street 2:
Practice Address - City:WEYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02188
Practice Address - Country:US
Practice Address - Phone:781-626-5160
Practice Address - Fax:781-803-2645
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-13
Last Update Date:2014-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110099449AMedicaid
MAS100147375Medicare PIN