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Organization
CHILD HEALTH FOUNDATION OF BOSTON
Active
Organization
CHILD HEALTH FOUNDATION OF BOSTON
Active
Other names
NUTRITION AND FITNESS FOR LIFE PROGRAM
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID C DIFIORE (DIRECTOR OF FINANCE AND CLINICAL SE)
(617) 414-5509
Entity
Organization
Contact information
Practice address
850 HARRISON AVE, ACC5, BOSTON, MA 02118-4001
(617) 414-5170
Mailing address
1 BOSTON MEDICAL CTR PL, SUITE 317, BOSTON, MA 02118-2908
(617) 414-5170
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0006747
NEIGHBORHOOD HEALTH PLAN
MA
Enumeration date
05/01/2008
Last updated
05/01/2008
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