Stony Brook Primary Care LLC
NPI #1790945160 in North Chelmsford, Massachusetts
Provider Information
- NPI Number
- 1790945160
- Entity Type
- Organization
- Organization Name
- Stony Brook Primary Care LLC
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Jun 10, 2008
- Last Updated
- Jul 31, 2017
Practice Location
- Address
- 20 RESEARCH PL
- Address 2
- SUITE 100
- City
- North Chelmsford
- State
- Massachusetts
- ZIP Code
- 01863-2454
- Phone
- (978) 446-9850
Authorized Official
- Name
- JESSICA WIESELQUIST, MD
- Title
- OWNER/PROVIDER
- Phone
- (978) 303-7179
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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