Commonwealth Care Alliance
NPI #1295195162 in Charlestown, Massachusetts
Provider Information
- NPI Number
- 1295195162
- Entity Type
- Organization
- Organization Name
- Commonwealth Care Alliance
- Primary Specialty
- Health Maintenance Organization
- Enumeration Date
- Mar 4, 2016
- Last Updated
- Mar 4, 2016
Practice Location
- Address
- 529 MAIN ST
- Address 2
- SUITE 216
- City
- Charlestown
- State
- Massachusetts
- ZIP Code
- 02129-1125
- Phone
- (617) 600-3195
Authorized Official
- Name
- MS. CATHY ANN VINCUILLA, R.N.
- Title
- REGISTERED NURSE
- Phone
- (508) 561-0067
Specialties & Taxonomy Codes
| Specialty |
|---|
| Health Maintenance Organization |
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