Organization
CHILD HEALTH FOUNDATION
Active
Other names
JEREMIAH BURKE HIGH SCHOOL
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID DIFIORE (DIRECTOR OF FINANCE AND CLINICAL SE)
(617) 414-5509
Entity
Organization
Contact information
Practice address
60 WASHINGTON ST, DORCHESTER, MA 02121-3105
(617) 534-9943
Mailing address
1 BOSTON MEDICAL CTR PL, SUITE 317, BOSTON, MA 02118-2908
(617) 414-5170
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0009889
NEIGHBORHOOD HEALTH PLAN
MA
Enumeration date
05/16/2008
Last updated
05/16/2008
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