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Organization
AMERICAN WELL MEDICAL GROUP CA, PC
Active
Organization
AMERICAN WELL MEDICAL GROUP CA, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA HORNER MD (OWNER)
(703) 505-6002
Entity
Organization
Contact information
Practice address
75 STATE ST STE 26, BOSTON, MA 02109-1827
(617) 204-3500
Mailing address
75 STATE ST STE 26, BOSTON, MA 02109-1827
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
02/20/2025
Last updated
02/20/2025
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