Organization
THE COMMONWEALTH OF MASSACHUSETTS
Active
Other names
Lemuel Shattuck Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHEAL DONOVAN (CHIEF FINANCIAL OFFICER)
(617) 971-3234
Entity
Organization
Contact information
Practice address
170 MORTON ST, JAMAICA PLAIN, MA 02130-3735
(617) 522-8110
Mailing address
170 MORTON ST, JAMAICA PLAIN, MA 02130-3735
(617) 522-8110
Taxonomy
Speciality
Code
Description
License number
State
281P00000X
Chronic Disease Hospital
Primary
—
—
Other
Enumeration date
10/31/2006
Last updated
12/03/2007
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