Organization
MASS GENERAL PHYSICIAN ORGANIZATIO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS L. MALONEY RN,MSN (CLINIC COORDINATOR)
(781) 860-1700
Entity
Organization
Contact information
Practice address
1 MAGUIRE RD, LEXINGTON, MA 02421-3114
(781) 860-1700
(781) 860-1766
Mailing address
1 MAGUIRE RD, LEXINGTON, MA 02421-3114
(781) 860-1700
(781) 860-1766
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
168021
MA
Other
Enumeration date
06/24/2010
Last updated
06/24/2010
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