Organization
BOSTON PUBLIC HEALTH COMMISSION
Active
Other names
Asthma Home Visiting & Immunization Prog.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BISOLA OJIKUTU MD (EXECUTIVE DIRECTOR)
(617) 534-7166
Entity
Organization
Contact information
Practice address
1010 MASSACHUSETTS AVE, BOSTON, MA 02118-2600
(617) 534-5264
(617) 534-7165
Mailing address
1010 MASSACHUSETTS AVE, BOSTON, MA 02118-2600
(617) 534-5264
(617) 534-7165
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001542401
MEDICARE
MA
Enumeration date
10/04/2011
Last updated
03/24/2022
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