Commonwealth Of Massachusetts-dds

NPI 1023140498 - Case Management - 251B00000X

NPI Details
NPI 1023140498
Enumeration Date 03/12/2007
Last Updated 10/02/2009
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name JEANETTE JEANETTE
Position SENIOR REVENUE MANAGER
Phone (781) 337-2165
Fax (781) 337-2179
Practice Location
1221 MAIN ST
THIRD FLOOR
S WEYMOUTH MA, 02190-1561, US
Phone (781) 337-2165
Fax (781) 337-2179
Business Location
500 HARRISON AVE
BOSTON MA, 02118-2439, US
Phone (617) 727-5608
Fax (617) 624-7577
Toxanomy
Taxonomy Code 251B00000X
License State
License Number EXEMPT
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According to our database, Commonwealth Of Massachusetts-dds NPI is 1023140498, taxonomy code is 251B00000X and license number is EXEMPT, license state is located at . Commonwealth Of Massachusetts-dds physically located at 1221 Main St, S Weymouth MA, 02190-1561. NPI Number 1033115704 has the healthcare provider type.

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1023140498 NPI number is provided on an as is basis without warranty of any kind. 1023140498 is maintained by the National Plan & Provider Enumeration System. The contents of Commonwealth Of Massachusetts-dds are for informational purposes only.