Organization
EVANS GERIATRIC SECTION OF EVANS
Active
Organization
EVANS GERIATRIC SECTION OF EVANS
Active
Parent organization
FACULTY PRACTICE FOUNDATION INC EVANS MEDICAL FOUNDATION INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
FACULTY PRACTICE FOUNDATION INC EVANS MEDICAL FOUNDATION INC
Authorized official
DAVID L. COLEMAN M.D. (PRESIDENT)
(617) 638-7254
Entity
Organization
Contact information
Practice address
88 EAST NEWTON ST, BOSTON, MA 02118
(617) 638-8383
Mailing address
720 HARRISON AVE, DOB 503, BOSTON, MA 02118
(617) 414-5405
(617) 414-6031
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
10/17/2014
Last updated
04/17/2015
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