Commonwealth of Mass-Dds
NPI #1215068408 in Hyde Park, Massachusetts
Provider Information
- NPI Number
- 1215068408
- Entity Type
- Organization
- Organization Name
- Commonwealth of Mass-Dds
- Primary Specialty
- Case Management
- Enumeration Date
- Mar 8, 2007
- Last Updated
- Oct 1, 2009
Practice Location
- Address
- 65 SPRAGUE ST
- City
- Hyde Park
- State
- Massachusetts
- ZIP Code
- 02136-2061
- Phone
- (617) 360-2400
Authorized Official
- Name
- JEANETTE MAILLET
- Title
- CHIEF FINANCIAL OFFICER
- Phone
- (617) 727-5608
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Management |
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