Provider Demographics
NPI:1699805549
Name:MIDDLESEX COMMUNITY PHYSICIANS, INC.
Entity type:Organization
Organization Name:MIDDLESEX COMMUNITY PHYSICIANS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:DOWNEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-417-6571
Mailing Address - Street 1:20 PONDMEADOW DR STE 206
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:MA
Mailing Address - Zip Code:01867-3261
Mailing Address - Country:US
Mailing Address - Phone:617-417-6571
Mailing Address - Fax:781-944-1684
Practice Address - Street 1:20 PONDMEADOW DR STE 206
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:MA
Practice Address - Zip Code:01867-3261
Practice Address - Country:US
Practice Address - Phone:781-944-0040
Practice Address - Fax:781-944-1684
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-07
Last Update Date:2023-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MANG0002Medicare ID - Type UnspecifiedGROUP PRACTICE NUMBER