Commonwealth of Mass - DDS
NPI #1306977822 in Belmont, Massachusetts
Provider Information
- NPI Number
- 1306977822
- Entity Type
- Organization
- Organization Name
- Commonwealth of Mass - DDS
- Primary Specialty
- Intermediate Care Facility, Intellectual Disabilities
- Enumeration Date
- Mar 8, 2007
- Last Updated
- Oct 1, 2009
Practice Location
- Address
- 200 TRAPELO ROAD
- City
- Belmont
- State
- Massachusetts
- ZIP Code
- 02452-6302
- Phone
- (781) 894-3600
Authorized Official
- Name
- JEANETTE MAILLET
- Title
- CHIEF FINANCIAL OFFICER
- Phone
- (617) 727-5608
Specialties & Taxonomy Codes
| Specialty |
|---|
| Intermediate Care Facility, Intellectual Disabilities |
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