Organization
WINDSOR STREET HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DOMINIQUE K JEAN RN (GENERAL DUTY RN)
(617) 665-3600
Entity
Organization
Contact information
Practice address
119 WINDSOR ST, CAMBRIDGE, MA 02139-3647
(617) 665-3600
Mailing address
119 WINDSOR ST, CAMBRIDGE, MA 02139-3647
(617) 665-3600
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
264807
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
264807
BORN
MA
Enumeration date
11/24/2010
Last updated
11/24/2010
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