Boston Senior Medicine

NPI #1740839208 in Canton, Massachusetts

Provider Information

NPI Number: 1740839208
Entity Type: Organization
Organization Name: Boston Senior Medicine
Primary Specialty: Clinic/Center
Enumeration Date: Sep 8, 2019
Last Updated: Nov 20, 2019

Practice Location

Address: 345 NEPONSET ST
City: Canton
State: Massachusetts
ZIP Code: 02021-1940
Phone: (508) 232-6963

Authorized Official

Name: INDIA MICHEL, NP
Title: PROVIDER
Phone: (508) 232-6963

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X
Nurse Practitioner	363L00000X
Clinic/Center	261Q00000X	Primary

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