| Hyde Park Health Associates Inc. | |
|
745 River St Mattapan MA 02126-1941 | |
| (617) 364-2588 | |
| Not Available |
| Full Name | Hyde Park Health Associates Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 745 River St, Mattapan, Massachusetts |
| Authorized Official Name and Position | Clifford Bonnet (OFFICE MANAGER) |
| Authorized Official Contact | 4019542351 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hyde Park Health Associates Inc. 745 River St Mattapan MA 02126-1941 Ph: (617) 364-2588 | Hyde Park Health Associates Inc. 745 River St Mattapan MA 02126-1941 Ph: (617) 364-2588 |
| NPI Number | 1467543710 |
|---|---|
| Provider Enumeration Date | 09/28/2006 |
| Last Update Date | 03/07/2023 |
| Medicare PECOS PAC ID | 6800079724 |
|---|---|
| Medicare Enrollment ID | O20110330000172 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467543710 | NPI | - | NPPES |
| 73981 | Other | MA | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 73981 (Massachusetts) | Primary |
| Provider Name | Jean S Bonnet |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164583787 PECOS PAC ID: 7810041787 Enrollment ID: I20090812000721 |
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