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Organization

CHILD HEALTH FOUNDATION

Active
Other names
Boston University Medical Center
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DAVID DIFIORE (SENIOR FINANCIAL OFFICER)
(617) 414-5170
Entity
Organization

Contact information

Practice address
850 HARRISON AVE # ACC5, THE ADOLESCENT CENTER, BOSTON, MA 02118-4001
(617) 414-4086
Mailing address
208 ALGONQUIN TRL, ASHLAND, MA 01721-1993
(508) 309-3347

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
50604
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3005551
MA
Enumeration date
07/05/2006
Last updated
08/22/2020
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