Square Medical Group LLC
NPI #1760957609 in Watertown, Massachusetts
Provider Information
- NPI Number
- 1760957609
- Entity Type
- Organization
- Organization Name
- Square Medical Group LLC
- Subpart
- Yes (part of a larger organization)
- Primary Specialty
- Clinic/Center - Mental Health (Including Community Mental Health Center)
- Enumeration Date
- Oct 8, 2018
- Last Updated
- Oct 8, 2018
Practice Location
- Address
- 124 WATERTOWN ST STE 2D
- City
- Watertown
- State
- Massachusetts
- ZIP Code
- 02472-2599
- Phone
- (617) 916-5069
Authorized Official
- Name
- JEFF GERSHMAN
- Title
- CEO
- Phone
- (617) 916-5069
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
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