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Organization

BOSTON MEDICAL CENTER

Active
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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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