Organization
PAUL A CHURCH MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL A CHURCH M.D. (OWNER)
(617) 983-7019
Entity
Organization
Contact information
Practice address
1153 CENTRE ST, SUITE 5930, JAMAICA PLAIN, MA 02130-3446
(617) 983-7019
(617) 983-7533
Mailing address
1153 CENTRE ST, SUITE 5930, JAMAICA PLAIN, MA 02130-3446
(617) 983-7019
(617) 983-7533
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
57851
MA
Other
Enumeration date
11/05/2015
Last updated
11/05/2015
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