Organization
MHM HEALTH PROFESSIONALS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TOM GROBLEWSKI (STATEWIDE MEDICAL DIRECTOR)
(508) 285-4018
Entity
Organization
Contact information
Practice address
HAVARD ROAD, SHIRLEY, MA 01464
(978) 425-4341
Mailing address
1593 SPRING HILL RD, SUITE 610, VIENNA, VA 22182-2245
(703) 749-4600
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
2269378
MA
Other
Enumeration date
02/11/2015
Last updated
02/11/2015
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