Boston Healthcare Va
NPI #1467641126 in Revere, Massachusetts
Provider Information
- NPI Number
- 1467641126
- Entity Type
- Organization
- Organization Name
- Boston Healthcare Va
- Primary Specialty
- Psychiatric Unit
- Enumeration Date
- Oct 18, 2007
- Last Updated
- Oct 30, 2007
Practice Location
- Address
- 204 BELLINGHAM AVE
- City
- Revere
- State
- Massachusetts
- ZIP Code
- 02151-4106
- Phone
- (440) 915-6515
Authorized Official
- Name
- ADRIANA FAUR, M.A.
- Title
- POSTDOCTORAL FELLOW
- Phone
- (857) 364-4122
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatric Unit |
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