Commonwealth of Massachusetts

NPI #1902240047 in Buzzards Bay, Massachusetts

Provider Information

NPI Number
1902240047
Entity Type
Organization
Organization Name
Commonwealth of Massachusetts
Primary Specialty
Clinic/Center - Student Health
Enumeration Date
Apr 19, 2013
Last Updated
Apr 19, 2013

Practice Location

Address
101 ACADEMY DR
Address 2
HEALTH SERVICES
ZIP Code
02532-3405
Phone
(508) 830-5048

Authorized Official

Name
DR. JEFFREY CUKOR, MD
Title
DIRECTOR, HEALTH SERVICES
Phone
(508) 830-5048

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Student HealthStudent Health

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