Organization
BEDFORD VAMC
Active
Organization
BEDFORD VAMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAREN M PRINCE LICSW (CLINICAL SOCIAL WORKER)
(781) 687-2223
Entity
Organization
Contact information
Practice address
200 SPRINGS RD, SWS 122, BEDFORD, MA 01730-1114
(781) 687-2223
Mailing address
200 SPRINGS RD, SWS 122, BEDFORD, MA 01730-1114
(781) 687-2223
(781) 687-3178
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
113083
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P23975
MEDICARE ID
MA
Enumeration date
11/03/2006
Last updated
05/25/2011
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