Organization
ELIOT COMMUNITY SERVICE AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARC RICHUTE (FAMILY PARTNER)
(617) 304-6320
Entity
Organization
Contact information
Practice address
10 CABOT RD, MEDFORD, MA 02155-5177
(617) 304-6320
Mailing address
10 CABOT ROAD, MEDFORD, MA 02155
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
06/02/2010
Last updated
06/02/2010
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