Organization
HEBREW SENIORLIFE AFFILIATED MEDICAL GROUP INC
Active
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
Update your record
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