Chs Massachusetts Medical PC

NPI #1114361433 in Waltham, Massachusetts

Provider Information

NPI Number: 1114361433
Entity Type: Organization
Organization Name: Chs Massachusetts Medical PC
Subpart: Yes (part of a larger organization)
Parent Organization: CHS HEALTH SERVICES, LLC
Primary Specialty: General Practice
Enumeration Date: Apr 18, 2013
Last Updated: Feb 5, 2015

Practice Location

Address: 35 GATEHOUSE DR
Address 2: ASTRAZENECA
City: Waltham
State: Massachusetts
ZIP Code: 02451-1215
Phone: (781) 839-4852

Authorized Official

Name: STUART CLARK
Title: EXECUTIVE VP
Phone: (615) 577-4927

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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