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Organization
THE COMMONWEALTH OF MASSACHUSETTS
Active
Organization
THE COMMONWEALTH OF MASSACHUSETTS
Active
Parent organization
THE COMMONWEALTH OF MASSACHUSETTS
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE COMMONWEALTH OF MASSACHUSETTS
Authorized official
MS. CINDYLOU LYONS RN (DIRECTOR OF MEDICAL SERVICES)
(617) 635-1100
Entity
Organization
Contact information
Practice address
200 NASHUA STREET, BOSTON, MA 02114
(617) 635-1100
Mailing address
200 NASHUA STREET, BOSTON, MA 02114
(617) 635-1100
(617) 704-6752
Taxonomy
Speciality
Code
Description
License number
State
261QP2400X
Prison Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
07/15/2026
Last updated
07/15/2026
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