Organization
BOSTON MEDICAL CENTER CORPORATION
Active
Organization
BOSTON MEDICAL CENTER CORPORATION
Active
Parent organization
BOSTON MEDICAL CENTER CORPORATION
Other names
Greater Roslindale Medical and Dental Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
BOSTON MEDICAL CENTER CORPORATION
Authorized official
TERESA T NEWSOM (SVP, CFO)
(617) 414-2693
Entity
Organization
Contact information
Practice address
4199 WASHINGTON ST, ROSLINDALE, MA 02131-1733
(617) 323-4440
(617) 323-7870
Mailing address
4199 WASHINGTON ST, ROSLINDALE, MA 02131-1733
(617) 323-4440
(617) 323-7870
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
V112
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1212095
—
MA
Enumeration date
11/17/2006
Last updated
07/12/2023
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