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Organization
CORRECTIONAL PSYCHIATRIC SERVICES
Active
Organization
CORRECTIONAL PSYCHIATRIC SERVICES
Active
Other names
Correctional Medical Services
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAHLID MOHAMED MD (MEDICAL DIRECTOR)
(617) 494-4439
Entity
Organization
Contact information
Practice address
40 THORNDIKE ST, CAMBRIDGE, MA 02141-1715
(617) 494-4439
Mailing address
40 THORNDIKE ST, CAMBRIDGE, MA 02141-1715
Taxonomy
Speciality
Code
Description
License number
State
261QP2400X
Prison Health Clinic/Center
Primary
128714
MA
Other
Enumeration date
03/24/2010
Last updated
03/24/2010
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