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Organization
FACULTY PRACTICE FOUNDATION , EVANS MEDICAL FOUNDATION
Active
Organization
FACULTY PRACTICE FOUNDATION , EVANS MEDICAL FOUNDATION
Active
Parent organization
EVANS MEDICAL FOUNDATION
Other names
The Endoscopy Center of Brookline
Organization subpart
Yes
Provider details
NPI number
Legal business name
EVANS MEDICAL FOUNDATION
Authorized official
MRS. ANNMARIE CLOONAN (DIRECTOR)
(617) 638-7231
Entity
Organization
Contact information
Practice address
930 COMMONWEALTH AVE, BOSTON, MA 02215-1274
(617) 414-6600
(617) 414-6601
Mailing address
930 COMMONWEALTH AVE, BOSTON, MA 02215-1274
(617) 414-6600
(617) 414-6601
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
03/08/2007
Last updated
06/15/2011
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