Uscg Isc Boston

NPI 1578648093 - Clinic/Center - 261QM1100X

NPI Details
NPI 1578648093
Enumeration Date 10/25/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name DIANA DIANA
Position CHIEF, HEALTH SERVICES DIVISION
Phone (617) 223-3121
Fax (617) 223-3038
Practice Location
427 COMMERCIAL STREET
BOSTON MA, 02109, US
Phone (617) 223-3121
Fax (617) 223-3038
Business Location
427 COMMERCIAL STREET
BOSTON MA, 02109, US
Phone (617) 223-3121
Fax (617) 223-3038
Toxanomy
Taxonomy Code 261QM1100X
License State
License Number
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According to our database, Uscg Isc Boston NPI is 1578648093, taxonomy code is 261QM1100X Uscg Isc Boston physically located at 427 Commercial Street, Boston MA, 02109. NPI Number 1033115704 has the healthcare provider type.

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1578648093 NPI number is provided on an as is basis without warranty of any kind. 1578648093 is maintained by the National Plan & Provider Enumeration System. The contents of Uscg Isc Boston are for informational purposes only.