Unknown Individual – Family Medicine Physician, NPI 1518040484
Family Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
909, Broadway, Glendale, Everett, Middlesex County, Massachusetts, 02149, United States
EVERETT, WA 982011409
Phone: (425) 317-0257
Fax: (425) 317-0291
Type: Mailing
14692, 179th Avenue Southeast, Monroe, Snohomish County, Washington, 98272, United States
SUITE 100
MONROE, WA 982721198
Phone: (360) 794-7994
Fax: (360) 805-4755
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 98201)
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