Commonwealth Of Massachusetts

NPI 1093856965 - Clinical Medical Laboratory - 291U00000X

NPI Details
NPI 1093856965
Enumeration Date 02/12/2007
Last Updated 11/26/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name ALFRED ALFRED
Position DIRECTOR
Phone (617) 983-6200
Fax
Practice Location
305 SOUTH ST
JAMAICA PLAIN MA, 02130-3515, US
Phone (617) 983-6200
Fax
Business Location
305 SOUTH ST
JAMAICA PLAIN MA, 02130-3515, US
Phone (617) 983-6200
Fax
Toxanomy
Taxonomy Code 291U00000X
License State
License Number
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According to our database, Commonwealth Of Massachusetts NPI is 1093856965, taxonomy code is 291U00000X Commonwealth Of Massachusetts physically located at 305 South St, Jamaica Plain MA, 02130-3515. NPI Number 1033115704 has the healthcare provider type.

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1093856965 NPI number is provided on an as is basis without warranty of any kind. 1093856965 is maintained by the National Plan & Provider Enumeration System. The contents of Commonwealth Of Massachusetts are for informational purposes only.