Organization
HYDE PARK HEALTH ASSOCIATES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLIFFORD BONNET (OFFICE MANAGER)
(401) 954-2351
Entity
Organization
Contact information
Practice address
745 RIVER ST, MATTAPAN, MA 02126-1941
(617) 364-2588
Mailing address
745 RIVER ST, MATTAPAN, MA 02126-1941
(617) 364-2588
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
73981
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
73981
LICENSE
MA
Enumeration date
09/28/2006
Last updated
03/07/2023
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