Succor Primary Care INC
NPI #1295311207 in Waltham, Massachusetts
Provider Information
- NPI Number
- 1295311207
- Entity Type
- Organization
- Organization Name
- Succor Primary Care INC
- Primary Specialty
- Nurse Practitioner - Primary Care
- Enumeration Date
- Mar 20, 2021
- Last Updated
- Mar 16, 2022
Practice Location
- Address
- 24 CRESCENT ST STE 407
- City
- Waltham
- State
- Massachusetts
- ZIP Code
- 02453-4309
- Phone
- (781) 358-8633
Authorized Official
- Name
- LELIA JANICE MAGOBA, NURSE PRACTITIONER
- Title
- PRESIDENT
- Phone
- (781) 358-8633
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Primary Care — Primary Care |
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