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Organization
SOUTH COVE COMMUNITY HEALTH CENTER
Active
Organization
SOUTH COVE COMMUNITY HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ISABELLA LAI WAH MA RD (DIETITIAN)
(617) 482-7555
Entity
Organization
Contact information
Practice address
885 WASHINGTON STREET, BOSTON, MA 02111-1415
(617) 482-7555
(617) 521-6795
Mailing address
885 WASHINGTON ST, BOSTON, MA 02111-1415
(617) 482-7555
(617) 521-6795
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
133V00000X
MA
Other
Enumeration date
11/23/2010
Last updated
12/07/2010
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