Organization
SOUTH COVE COMMUNITY HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ISABELLA LAI WAH MA RD (DIETITIAN)
(617) 482-7555
Entity
Organization
Contact information
Practice address
885 WASHINGTON STREET, BOSTON, MA 02111-1415
(617) 482-7555
(617) 521-6795
Mailing address
885 WASHINGTON ST, BOSTON, MA 02111-1415
(617) 482-7555
(617) 521-6795
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
133V00000X
MA
Other
Enumeration date
11/23/2010
Last updated
12/07/2010
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