Medical Center of Greater Mattapan

NPI #1144425059 in Mattapan, Massachusetts

Provider Information

NPI Number: 1144425059
Entity Type: Organization
Organization Name: Medical Center of Greater Mattapan
Primary Specialty: Physical Therapist
Enumeration Date: Jun 19, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 1603 BLUE HILL AVE
City: Mattapan
State: Massachusetts
ZIP Code: 02126-2122
Phone: (617) 296-5710

Authorized Official

Name: MR. RUBEN OGANESOV, M.D.
Title: PRESIDENT
Phone: (617) 783-5783

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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