Organization
DOVETAIL PAC RI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
INDIA MICHEL (AUTHORIZED OFFICIAL)
(781) 653-6951
Entity
Organization
Contact information
Practice address
3 ALLIED DR STE 303, DEDHAM, MA 02026-6148
(781) 653-6951
(781) 205-1543
Mailing address
3 ALLIED DR STE 303, DEDHAM, MA 02026-6148
(781) 653-6951
(781) 205-1543
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/11/2024
Last updated
09/23/2025
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