Organization
MELROSEWAKEFIELD HEALTHCARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIA GREENHALGH (EXECUTIVE DIRECTOR REVENUE CYCLE)
(781) 338-7021
Entity
Organization
Contact information
Practice address
170 GOVERNORS AVE, MEDFORD, MA 02155-1643
(781) 306-6100
Mailing address
PO BOX 415929, BOSTON, MA 02241-5929
(781) 338-7021
(781) 338-7096
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110000034F
—
MA
Enumeration date
12/05/2019
Last updated
12/05/2019
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