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Organization
DIMOCK COMMUNITY HEALTH CENTER
Active
Organization
DIMOCK COMMUNITY HEALTH CENTER
Active
Other names
Dimock CHC Optical Shop
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID WHITHAM (DIRECTOR OF IT & AR)
(617) 442-8800
Entity
Organization
Contact information
Practice address
55 DIMOCK ST, ROXBURY, MA 02119-1029
(617) 442-8800
(617) 445-0099
Mailing address
55 DIMOCK ST, ROXBURY, MA 02119-1029
(617) 442-8800
(617) 445-0099
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1301144
—
MA
Enumeration date
01/24/2007
Last updated
08/22/2020
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