Organization
BOSTON HEALTHCARE VA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADRIANA FAUR M.A. (POSTDOCTORAL FELLOW)
(857) 364-4122
Entity
Organization
Contact information
Practice address
204 BELLINGHAM AVE, REVERE, MA 02151-4106
(440) 915-6515
Mailing address
204 BELLINGHAM AVE, REVERE, MA 02151-4106
(440) 915-6515
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
—
—
Other
Enumeration date
10/18/2007
Last updated
10/30/2007
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