Organization
SPA2BIZ
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELI TELYAS (LMT)
(617) 451-3881
Entity
Organization
Contact information
Practice address
45 NEWBURY ST STE 333, BOSTON, MA 02116-3177
(617) 451-3881
Mailing address
45 NEWBURY ST STE 333, BOSTON, MA 02116-3177
(617) 451-3881
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
10159
MA
Other
Enumeration date
06/11/2014
Last updated
06/11/2014
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