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Organization

ST. ELIZABETH MEDICAL CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
VINCENZA GELARDI (SUGICAL EDUCATION COORDINATOR)
(617) 789-2990
Entity
Organization

Contact information

Practice address
172 SUMMER ST APT 8, WALTHAM, MA 02452-5647
(617) 595-3797
Mailing address
172 SUMMER ST APT 8, WALTHAM, MA 02452-5647
(617) 595-3797

Taxonomy

Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
253000
CT

Other

Enumeration date
07/19/2012
Last updated
07/19/2012
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