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Organization

FAMILY WHOLE HEALTH PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MISS ADONICA SHAW (MANAGER)
(800) 491-2142
Entity
Organization

Contact information

Practice address
423 W BROADWAY STE 302B, BOSTON, MA 02127-2266
(800) 491-2142
(800) 491-2142
Mailing address
423 W BROADWAY STE 302B, BOSTON, MA 02127-2266
(800) 491-2142
(800) 491-2142

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
208000000X
Pediatrics Physician
Primary

Other

Enumeration date
06/24/2024
Last updated
06/24/2024
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