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Organization
THE COMMONWEALTH OF MASSACHUSETTS
Active
Organization
THE COMMONWEALTH OF MASSACHUSETTS
Active
Other names
Lemuel Shattuck Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHEAL DONOVAN (CHIEF FINANCIAL OFFICER)
(617) 971-3234
Entity
Organization
Contact information
Practice address
170 MORTON ST, JAMAICA PLAIN, MA 02130-3735
(617) 522-8110
Mailing address
170 MORTON ST, JAMAICA PLAIN, MA 02130-3735
(617) 522-8110
Taxonomy
Speciality
Code
Description
License number
State
281P00000X
Chronic Disease Hospital
Primary
—
—
Other
Enumeration date
10/31/2006
Last updated
12/03/2007
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