| Tlc Massachusetts | |
|
400 5th Ave Ste. 510 Waltham MA 02451-8706 | |
| (781) 890-9922 | |
| Not Available |
| Full Name | Tlc Massachusetts |
|---|---|
| Speciality | Clinic/center |
| Location | 400 5th Ave, Waltham, Massachusetts |
| Authorized Official Name and Position | Brian L Andrew (SECRETARY) |
| Authorized Official Contact | 6365342300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tlc Massachusetts 16305 Swingley Ridge Rd Ste. 300 Chesterfield MO 63017-1777 Ph: (636) 534-2300 | Tlc Massachusetts 400 5th Ave Ste. 510 Waltham MA 02451-8706 Ph: (781) 890-9922 |
| NPI Number | 1861606907 |
|---|---|
| Provider Enumeration Date | 05/09/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861606907 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
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