Commonwealth Care Alliance
NPI #1669924783 in Charlestown, Massachusetts
Provider Information
- NPI Number
- 1669924783
- Entity Type
- Organization
- Organization Name
- Commonwealth Care Alliance
- Primary Specialty
- Exclusive Provider Organization
- Enumeration Date
- Oct 25, 2016
- Last Updated
- Oct 25, 2016
Practice Location
- Address
- 529 MAIN ST
- City
- Charlestown
- State
- Massachusetts
- ZIP Code
- 02129-1125
- Phone
- (617) 600-3195
Authorized Official
- Name
- LAURA BLACK, NP
- Title
- REGIONAL CLINICAL DIRECTOR
- Phone
- (617) 600-3195
Specialties & Taxonomy Codes
| Specialty |
|---|
| Exclusive Provider Organization |
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