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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. TRACEY L. RODRIGUEZ (CHIEF FINANCIAL OFFICER)
(508) 995-1313
Entity
Organization
Contact information
Practice address
400 FAUNCE CORNER ROAD, NORTH DARTMOUTH, MA 02747
(508) 995-6400
Mailing address
400 FAUNCE CORNER ROAD, NORTH DARTMOUTH, MA 02747
(508) 995-6400
Taxonomy
Speciality
Code
Description
License number
State
261QP2400X
Prison Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
07/21/2026
Last updated
07/21/2026
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