Organization
ALLIED HEALTH CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID TKHILAISHVILI (MEMBER)
(617) 302-3343
Entity
Organization
Contact information
Practice address
21 SCHOOL ST, STE 1, QUINCY, MA 02169-6640
(617) 302-3343
Mailing address
21 SCHOOL ST, STE 1, QUINCY, MA 02169-6640
(617) 302-3343
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
12/15/2014
Last updated
12/15/2014
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