| Bournewood Clinical Associates | |
|
300 South St Brookline MA 02467-3658 | |
| (617) 469-0300 | |
| (617) 469-5013 |
| Full Name | Bournewood Clinical Associates |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 300 South St, Brookline, Massachusetts |
| Authorized Official Name and Position | Michael C Gale (CFO) |
| Authorized Official Contact | 6174690300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bournewood Clinical Associates 300 South St Brookline MA 02467-3658 Ph: (617) 469-0300 | Bournewood Clinical Associates 300 South St Brookline MA 02467-3658 Ph: (617) 469-0300 |
| NPI Number | 1891780144 |
|---|---|
| Provider Enumeration Date | 09/13/2005 |
| Last Update Date | 09/11/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891780144 | NPI | - | NPPES |
| 9773908 | Medicaid | MA | |
| M15391 | Other | MA | BLUE SHIELD PROVIDER NUMB |
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