Organization
BID-MILTON PHYSICIAN ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHEILAH RANGAVIZ (CFO)
(617) 313-1350
Entity
Organization
Contact information
Practice address
100 HIGHLAND ST STE 126, MILTON, MA 02186-3879
(617) 313-1440
Mailing address
199 REEDSDALE RD, MILTON, MA 02186-3926
(617) 313-1440
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/01/2023
Last updated
04/16/2025
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