| Elder Service Plan | |
|
1135 Morton Street Mattapan MA 02126-2834 | |
| (617) 533-2400 | |
| (617) 533-2401 |
| Full Name | Elder Service Plan |
|---|---|
| Speciality | Clinic/center |
| Location | 1135 Morton Street, Mattapan, Massachusetts |
| Authorized Official Name and Position | Charles T. Jones (PRESIDENT & CEO) |
| Authorized Official Contact | 6175332350 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elder Service Plan 1135 Morton Street Mattapan MA 02126-2834 Ph: (617) 533-2300 | Elder Service Plan 1135 Morton Street Mattapan MA 02126-2834 Ph: (617) 533-2400 |
| NPI Number | 1225064264 |
|---|---|
| Provider Enumeration Date | 06/23/2006 |
| Last Update Date | 04/02/2020 |
| Certification Date | 04/02/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225064264 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
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