Organization
DIMOCK COMMUNITY HEALTH CENTER
Active
Other names
Dimock CHC Optical Shop
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID WHITHAM (DIRECTOR OF IT & AR)
(617) 442-8800
Entity
Organization
Contact information
Practice address
55 DIMOCK ST, ROXBURY, MA 02119-1029
(617) 442-8800
(617) 445-0099
Mailing address
55 DIMOCK ST, ROXBURY, MA 02119-1029
(617) 442-8800
(617) 445-0099
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1301144
—
MA
Enumeration date
01/24/2007
Last updated
08/22/2020
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