Organization
SIDNEY BORUM JR. HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARLA HOXHA BROWN NP (FAMILY NURSE PRACTITIONER)
(617) 457-8140
Entity
Organization
Contact information
Practice address
130 BOYLSTON ST, BOSTON, MA 02116-4608
(617) 457-8140
(617) 457-8141
Mailing address
130 BOYLSTON ST, BOSTON, MA 02116-4608
(617) 457-8140
(617) 457-8141
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
250429
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
250429
STATE LICENSE
MA
Enumeration date
01/24/2007
Last updated
08/22/2020
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