| 824 Boylston Street, Inc. | |
|
824 Boylston St Chestnut Hill MA 02467-2508 | |
| (617) 991-0102 | |
| (617) 991-0112 |
| Full Name | 824 Boylston Street, Inc. |
|---|---|
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 824 Boylston St, Chestnut Hill, Massachusetts |
| Authorized Official Name and Position | Herbert Benson (PRESIDENT) |
| Authorized Official Contact | 6179910102 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 824 Boylston Street, Inc. 824 Boylston St Chestnut Hill MA 02467-2508 Ph: (617) 991-0102 | 824 Boylston Street, Inc. 824 Boylston St Chestnut Hill MA 02467-2508 Ph: (617) 991-0102 |
| NPI Number | 1518995018 |
|---|---|
| Provider Enumeration Date | 06/30/2006 |
| Last Update Date | 09/11/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518995018 | NPI | - | NPPES |
| 9726501 | Medicaid | MA |
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