Commonwealth Medicine

NPI #1770142945 in Worcester, Massachusetts

Provider Information

NPI Number
1770142945
Entity Type
Organization
Organization Name
Commonwealth Medicine
Subpart
Yes (part of a larger organization)
Parent Organization
UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL
Primary Specialty
Public Health or Welfare
Enumeration Date
Jun 11, 2019
Last Updated
Jun 11, 2019

Practice Location

Address
55 LAKE AVE N
ZIP Code
01655-0002
Phone
(617) 886-8264

Authorized Official

Name
ROSEMARIE BONAVENTURA
Title
DEPUTY DIRECTOR
Phone
(617) 886-8013

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Public Health, State or LocalPublic Health, State or Local
Public Health or Welfare

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