Massachusetts Phs LLC

NPI #1700186905 in Boston, Massachusetts

Provider Information

NPI Number
1700186905
Entity Type
Organization
Organization Name
Massachusetts Phs LLC
Subpart
Yes (part of a larger organization)
Parent Organization
PROVIDER HEALTH SERVICES LLC
Primary Specialty
Nurse Practitioner
Enumeration Date
Oct 22, 2010
Last Updated
Mar 13, 2019

Practice Location

Address
10 POST OFFICE SQ FL 8
City
Boston
ZIP Code
02109-4603
Phone
(337) 991-9276

Authorized Official

Name
NICOLE HOWARD
Title
CFO
Phone
(337) 991-9276

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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