# MASS GENERAL PHYSICIAN ORGANIZATIO

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255642229
- **Authorized official:** MR. THOMAS L. MALONEY RN,MSN (CLINIC COORDINATOR)
- **Authorized official phone:** (781) 860-1700

## Contact information

- **Practice address:** 1 MAGUIRE RD, LEXINGTON, MA 02421-3114
- **Practice address phone:** (781) 860-1700
- **Practice address fax:** (781) 860-1766
- **Mailing address:** 1 MAGUIRE RD, LEXINGTON, MA 02421-3114
- **Mailing address phone:** (781) 860-1700
- **Mailing address fax:** (781) 860-1766

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD1600X | Developmental Disabilities Clinic/Center | 168021 | MA | Yes |

## Other

- **Enumeration date:** 06/24/2010
- **Last updated:** 06/24/2010