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Organization

BRANDEIS UNIVERSITY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOY VON STEIGER PHD (CLINICAL DIRECTOR OF PCC)
(617) 875-0444
Entity
Organization

Contact information

Practice address
415 SOUTH ST, MS061, WALTHAM, MA 02453-2728
(617) 921-7009
Mailing address
415 SOUTH ST, MS 061, WALTHAM, MA 02453-2728

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
118679
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000
NONE
MA
Enumeration date
02/18/2015
Last updated
02/18/2015
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