| Premise Health Of Massachusetts, Medical Pc | |
|
175 Berkeley St Boston MA 02116-5066 | |
| (857) 224-9355 | |
| (857) 224-9300 |
| Full Name | Premise Health Of Massachusetts, Medical Pc |
|---|---|
| Speciality | General Practice |
| Location | 175 Berkeley St, Boston, Massachusetts |
| Authorized Official Name and Position | Jon Leizman (PRESIDENT) |
| Authorized Official Contact | 2164799063 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premise Health Of Massachusetts, Medical Pc 5500 Maryland Way Ste 120 Brentwood TN 37027-4993 Ph: () - | Premise Health Of Massachusetts, Medical Pc 175 Berkeley St Boston MA 02116-5066 Ph: (857) 224-9355 |
| NPI Number | 1356781389 |
|---|---|
| Provider Enumeration Date | 07/05/2013 |
| Last Update Date | 08/24/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356781389 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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