Organization
TWO BRATTLE CENTER, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICARDO BENITEZ (HR MANAGER)
(617) 441-7500
Entity
Organization
Contact information
Practice address
64 CHURCH ST, CAMBRIDGE, MA 02138-3730
(617) 441-7500
(617) 441-7510
Mailing address
PO BOX 380187, CAMBRIDGE, MA 02238-0187
(617) 441-7500
(617) 441-7510
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103T00000X
Psychologist
—
MA
1041C0700X
Clinical Social Worker
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W10390
BLUE CROSS
MA
Enumeration date
05/30/2006
Last updated
09/11/2025
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