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Organization
TUFTS MEDICAL CENTER
Active
Organization
TUFTS MEDICAL CENTER
Active
Other names
New England Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY ROGERS MOORE M.D. (RESIDENT)
(734) 377-1285
Entity
Organization
Contact information
Practice address
106A CREST AVE, REVERE, MA 02151-4117
(734) 377-1285
Mailing address
106A CREST AVE, REVERE, MA 02151-4117
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
237109
MA
Other
Enumeration date
08/07/2008
Last updated
09/14/2020
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