Commonwealth of Massachusetts-Dds
NPI #1023140498 in S Weymouth, Massachusetts
Provider Information
- NPI Number
- 1023140498
- Entity Type
- Organization
- Organization Name
- Commonwealth of Massachusetts-Dds
- Primary Specialty
- Case Management
- Enumeration Date
- Mar 12, 2007
- Last Updated
- Oct 2, 2009
Practice Location
- Address
- 1221 MAIN ST
- Address 2
- THIRD FLOOR
- City
- S Weymouth
- State
- Massachusetts
- ZIP Code
- 02190-1561
- Phone
- (781) 337-2165
Authorized Official
- Name
- MS. JEANETTE MAILLET
- Title
- SENIOR REVENUE MANAGER
- Phone
- (617) 727-5608
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Management |
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