Organization
UMASS MEMORIAL MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE STREETER (EXECUTIVE DIRECTOR)
(508) 334-0311
Entity
Organization
Contact information
Practice address
61 BOYDEN RD, HOLDEN, MA 01520-2542
(508) 829-9944
(508) 829-2100
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
(508) 334-1977
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
24170
MA
Other
Enumeration date
10/15/2010
Last updated
10/15/2010
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