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Organization
SQUARE MEDICAL GROUP LLC
Active
Organization
SQUARE MEDICAL GROUP LLC
Active
Other names
Square IOT Services
Organization subpart
Yes
Provider details
NPI number
Authorized official
JEFF GERSHMAN (CEO)
(617) 916-5069
Entity
Organization
Contact information
Practice address
124 WATERTOWN ST STE 2D, WATERTOWN, MA 02472-2599
(617) 916-5069
Mailing address
124 WATERTOWN ST STE 2D, WATERTOWN, MA 02472-2599
(617) 916-5069
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/08/2018
Last updated
10/08/2018
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