Organization
BOSTON MEDICAL CENTER CORPORATION
Active
Parent organization
EAST BOSTON NEIGHBORHOOD HEALTH CENTER CORP
Organization subpart
Yes
Provider details
NPI number
Legal business name
EAST BOSTON NEIGHBORHOOD HEALTH CENTER CORP
Authorized official
EMBELLI OKUNADE (CONTRACTING AND CREDENTIALING ANALY)
(617) 414-0536
Entity
Organization
Contact information
Practice address
20 MAVERICK SQ, EAST BOSTON, MA 02128-2335
(617) 569-5800
(617) 568-4756
Mailing address
20 MAVERICK SQ, EAST BOSTON, MA 02128-2335
(617) 569-5800
(617) 568-4756
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
—
—
3336S0011X
Specialty Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110022129H
—
MA
Enumeration date
01/05/2023
Last updated
01/05/2023
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