Central Square Medical Center INC
NPI #1750528352 in East Boston, Massachusetts
Provider Information
- NPI Number
- 1750528352
- Entity Type
- Organization
- Organization Name
- Central Square Medical Center INC
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Jan 19, 2009
- Last Updated
- Jan 19, 2009
Practice Location
- Address
- 40 CENTRAL SQ
- City
- East Boston
- State
- Massachusetts
- ZIP Code
- 02128-1911
- Phone
- (617) 202-9036
Authorized Official
- Name
- LEONID GORBATOV
- Title
- ADMINISTRATOR /OFFICER
- Phone
- (301) 366-3844
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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