Mass General Brigham Community Physicians Inc. | |
53 State St Ste 106 Boston MA 02109-2820 | |
(617) 903-5000 | |
Not Available |
Full Name | Mass General Brigham Community Physicians Inc. |
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Speciality | Family Medicine |
Location | 53 State St Ste 106, Boston, Massachusetts |
Authorized Official Name and Position | David Connolly (CFO, SVP OF ADMIN & TREASURER) |
Authorized Official Contact | 8572822028 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mass General Brigham Community Physicians Inc. 399 Revolution Dr Ste 1010 Somerville MA 02145-1444 Ph: () - | Mass General Brigham Community Physicians Inc. 53 State St Ste 106 Boston MA 02109-2820 Ph: (617) 903-5000 |
NPI Number | 1265094122 |
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Provider Enumeration Date | 07/01/2019 |
Last Update Date | 09/20/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265094122 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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