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Organization

HARBOR VIEW PHYSICAL THERAPY & SPORTS MEDICINE, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ALFRED PETRIELLO (PHYSICAL THERAPIST)
(617) 569-4200
Entity
Organization

Contact information

Practice address
12 BENNINGTON ST, EAST BOSTON, MA 02128-1771
(617) 569-4200
(617) 569-4202
Mailing address
12 BENNINGTON ST, EAST BOSTON, MA 02128-1771
(617) 569-4200
(617) 569-4202

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
10322
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000007077
BOSTON MEDICAL CENTER H
MA
01
0017618
NEIGHBORHOOD HEALTH PLAN
MA
01
307527
HARVARD PILGRIM HEALTH
MA
05
9785256
MA
01
Y61161
BLUE CROSS & BLUE SHIELD
MA
Enumeration date
05/15/2007
Last updated
08/22/2020
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