# CENTRAL SQUARE MEDICAL CENTER INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750528352
- **Authorized official:** LEONID GORBATOV (ADMINISTRATOR /OFFICER)
- **Authorized official phone:** (301) 366-3844

## Contact information

- **Practice address:** 40 CENTRAL SQ, EAST BOSTON, MA 02128-1911
- **Practice address phone:** (617) 202-9036
- **Mailing address:** 40 CENTRAL SQ, EAST BOSTON, MA 02128-1911
- **Mailing address phone:** (617) 202-9036

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 261Q00000X | MA | Yes |

## Other

- **Enumeration date:** 01/19/2009
- **Last updated:** 01/19/2009