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Organization
BOSTON SENIOR MEDICINE
Active
Organization
BOSTON SENIOR MEDICINE
Active
Other names
Boston Senior Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
INDIA MICHEL NP (PROVIDER)
(508) 232-6963
Entity
Organization
Contact information
Practice address
345 NEPONSET ST, CANTON, MA 02021-1940
(508) 232-6963
(508) 297-8258
Mailing address
345 NEPONSET ST STE 3, CANTON, MA 02021-1988
(508) 232-6963
(508) 297-8258
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
—
NULL
183500000X
Pharmacist
—
—
261Q00000X
Clinic/Center
Primary
—
NULL
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
09/08/2019
Last updated
11/20/2019
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