Organization
VA BOSTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ZARANIQUE WATSON (HR)
(774) 826-2761
Entity
Organization
Contact information
Practice address
150 S HUNTINGTON AVE, 116B, BOSTON, MA 02130-4817
(857) 364-2051
Mailing address
100 MARION ST, APT 18, BROOKLINE, MA 02446-4725
Taxonomy
Speciality
Code
Description
License number
State
284300000X
Special Hospital
Primary
—
—
Other
Enumeration date
08/17/2010
Last updated
08/17/2010
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