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Organization
YOUVILLE HOSPITAL AND REHABILITATION
Active
Organization
YOUVILLE HOSPITAL AND REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL KELLER (VICE PREASIDENT OF FINANCE CFO)
(617) 876-4344
Entity
Organization
Contact information
Practice address
100 BRICKSTONE SQ, ANDOVER, MA 01810-1438
(617) 876-4344
(617) 234-7900
Mailing address
1575 CAMBRIDGE ST, CAMBRIDGE, MA 02138-4308
(617) 876-4344
(617) 234-7900
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
699902
TUFTS CLINIC PHYSICIANS
MA
01
—
903902
TUFTS HOSPITAL PHYSICIAN
MA
Enumeration date
03/26/2007
Last updated
04/15/2009
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