The Commonwealth of Massachusetts
NPI #1457437378 in Jamaica Plain, Massachusetts
Provider Information
- NPI Number
- 1457437378
- Entity Type
- Organization
- Organization Name
- The Commonwealth of Massachusetts
- Primary Specialty
- Chronic Disease Hospital
- Enumeration Date
- Oct 31, 2006
- Last Updated
- Dec 3, 2007
Practice Location
- Address
- 170 MORTON ST
- City
- Jamaica Plain
- State
- Massachusetts
- ZIP Code
- 02130-3735
- Phone
- (617) 522-8110
Authorized Official
- Name
- MR. MICHEAL DONOVAN
- Title
- CHIEF FINANCIAL OFFICER
- Phone
- (617) 971-3234
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chronic Disease Hospital |
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