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Organization
TUFTS UNIVERSITY
Active
Organization
TUFTS UNIVERSITY
Active
Other names
Clinical Affaris
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BETH ANN CONANT (DIRECTOR OF FINANCE AND ADMIN)
(617) 636-6842
Entity
Organization
Contact information
Practice address
1 KNEELAND ST, CLINIC BUSINESS OFFICE, BOSTON, MA 02111-1527
(617) 636-3746
(617) 636-6994
Mailing address
1 KNEELAND ST FL 3, BOSTON, MA 02111-1527
(617) 636-3746
(617) 636-6994
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
4105
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0241695
—
MA
05
—
0241822
—
MA
Enumeration date
04/10/2007
Last updated
04/29/2025
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