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Organization
HARVARD STREET NEIGHBORHOOD HEALTH CENTER INC
Active
Organization
HARVARD STREET NEIGHBORHOOD HEALTH CENTER INC
Active
Other names
HARVARD STREET NEIGHBORHOOD HEALTH CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES A. MURPHY (PRESIDENT/CEO)
(617) 825-3400
Entity
Organization
Contact information
Practice address
632 BLUE HILL AVENUE, DORCHESTER, MA 02121
(617) 822-5520
(617) 282-1450
Mailing address
632 BLUE HILL AVENUE, DORCHESTER, MA 02121
(617) 822-5520
(617) 282-1450
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
NULL
3336C0002X
Clinic Pharmacy
16544
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110027894B
—
MA
05
—
1305409
—
MA
01
—
2229121
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
01/08/2007
Last updated
03/18/2014
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