1620 Primary Care, PLLC
Family Medicine in Plymouth, MA. Organization (NPI-2).
NPI number1174214464
StatusActive
Last updated in NPPESJul 1, 2025
Details
- NPI
- 1174214464
- Entity type
- Organization (NPI-2)
- Legal business name
- 1620 Primary Care, PLLC
- Organization subpart
- No
- Enumeration date
- May 17, 2023
- Certification date
- Jul 1, 2025
- Last updated
- Jul 1, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Other names
- 1620 Primary Care (Doing Business As)
- 1620 Primary Care, PLLC (Doing Business As)
Practice location
110 Long Pond Rd Ste 110Plymouth, MA 02360-2642
Phone 508-591-3111 · Fax 774-283-9949
Mailing address
110 Long Pond Rd Ste 110Plymouth, MA 02360-2642
Phone 508-591-3111 · Fax 774-283-9949
Authorized official
Aaron Maloy
Nurse Practitioner/Pcp
5085913111
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