Organization
HEBREW SENIORLIFE AFFILIATED MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISE PAUL (VP REIMBURSEMENT)
(617) 971-5766
Entity
Organization
Contact information
Practice address
1200 CENTRE ST, ROSLINDALE, MA 02131-1000
(617) 971-5766
(617) 363-8913
Mailing address
1200 CENTRE ST, ROSLINDALE, MA 02131-1000
(617) 971-5766
(617) 363-8913
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RN0300X
Nephrology Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207W00000X
Ophthalmology Physician
—
—
2084N0400X
Neurology Physician
—
—
213E00000X
Podiatrist
—
—
Other
Enumeration date
12/15/2017
Last updated
02/28/2018
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