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Organization
CHILD HEALTH FOUNDATION
Active
Organization
CHILD HEALTH FOUNDATION
Active
Other names
CHARLESTOWN HIGH SCHOOL
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID DIFIORE (DIRECTOR OF FINANCE AND CLINICAL SE)
(617) 414-5170
Entity
Organization
Contact information
Practice address
240 MEDFORD ST, CHARLESTOWN, MA 02129-1930
(617) 534-9957
Mailing address
1 BOSTON MEDICAL CTR PL, SUITE 317, BOSTON, MA 02118-2908
(617) 414-5170
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0009888
NEIGHBORHOOD HEALTH PLAN
MA
Enumeration date
05/16/2008
Last updated
05/16/2008
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