Organization
HALLMARK HEALTH MEDICAL ASSOCIATES INC
Active
Parent organization
MELROSEWAKEFIELD HEALTHCARE PARENT CORPORATION
Other names
HHMA TPP/THP Non-Physician
Organization subpart
Yes
Provider details
NPI number
Legal business name
MELROSEWAKEFIELD HEALTHCARE PARENT CORPORATION
Authorized official
MICHAEL PATRICK CONNELLY (EXECUTIVE VICE PRESIDENT, CFO)
(781) 979-3028
Entity
Organization
Contact information
Practice address
170 GOVERNORS AVE, MEDFORD, MA 02155-1643
(781) 338-7170
(781) 338-7173
Mailing address
PO BOX 3237, WOBURN, MA 01888-3237
(781) 338-7170
(781) 338-7173
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
104100000X
Social Worker
—
—
2084P0800X
Psychiatry Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
Primary
—
—
364S00000X
Clinical Nurse Specialist
—
—
Other
Enumeration date
02/18/2020
Last updated
02/18/2020
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