Fenway Community Health Center, INC

NPI #1689318503 in Cambridge, Massachusetts

Provider Information

NPI Number: 1689318503
Entity Type: Organization
Organization Name: Fenway Community Health Center, INC
Subpart: Yes (part of a larger organization)
Parent Organization: FENWAY COMMUNITY HEALTH CENTER, INC
Primary Specialty: Internal Medicine
Enumeration Date: Apr 26, 2022
Last Updated: Apr 26, 2022

Practice Location

Address: 359 GREEN ST
City: Cambridge
State: Massachusetts
ZIP Code: 02139-3334
Phone: (617) 927-6050

Authorized Official

Name: MOIRE DANIEL
Title: DIRECTOR OF BILLING AND COLLECTIONS
Phone: (617) 927-6279

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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