Organization
MIND BODY MEDICAL ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANET KERTIS FRONK (PRESIDENT)
(781) 373-9990
Entity
Organization
Contact information
Practice address
824 BOYLSTON ST, CHESTNUT HILL, MA 02467-2508
(781) 373-9990
Mailing address
110 ASH ST, WESTON, MA 02493-1928
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PN97698
MA
Other
Enumeration date
07/25/2008
Last updated
07/25/2008
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