Organization
CARITAS CARNEY HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER TREMBLAY (ADMINISTRATOR)
(617) 296-4000
Entity
Organization
Contact information
Practice address
2100 DORCHESTER AVE, DORCHESTER CENTER, MA 02124-5615
(617) 296-4000
Mailing address
2100 DORCHESTER AVE, DORCHESTER CENTER, MA 02124-5615
(617) 296-4000
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1010352
—
MA
Enumeration date
03/06/2007
Last updated
06/15/2009
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