Organization
BOSTON MEDICAL CENTER
Active
Other names
Greater Roslindale Medical and Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA J. LOTTERO (EXECUTIVE DIRECTOR)
(617) 363-1200
Entity
Organization
Contact information
Practice address
4199 WASHINGTON ST, ROSLINDALE, MA 02131-1733
(617) 323-4440
(617) 323-7870
Mailing address
4199 WASHINGTON ST, ROSLINDALE, MA 02131-1733
(617) 323-4440
(617) 323-7870
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1212095
—
MA
Enumeration date
05/24/2011
Last updated
05/24/2011
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