| Nedg Boston | |
|
1 Milk St Boston MA 02109-5413 | |
| (508) 281-6464 | |
| (508) 281-6677 |
| Full Name | Nedg Boston |
|---|---|
| Speciality | Dentist |
| Location | 1 Milk St, Boston, Massachusetts |
| Authorized Official Name and Position | Gokulan Thiagarajah (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 5089622332 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nedg Boston 257 Turnpike Rd Ste 330 Southborough MA 01772-1791 Ph: (508) 281-6464 | Nedg Boston 1 Milk St Boston MA 02109-5413 Ph: (508) 281-6464 |
| NPI Number | 1770108656 |
|---|---|
| Provider Enumeration Date | 06/16/2020 |
| Last Update Date | 06/16/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770108656 | NPI | - | NPPES |
| 1801936075 | Other | MA | DELTA DENTAL OF MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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