Organization
BOSTON MEDICAL CENTER
Active
Parent organization
BOSTON MEDICAL CENTER
Other names
Codman Square Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
BOSTON MEDICAL CENTER
Authorized official
TRUDY GRIFFIN (CREDENTIALING COORDINATOR)
(617) 822-8382
Entity
Organization
Contact information
Practice address
637 WASHINGTON STREET, DORCHESTER, MA 02124-3510
(617) 825-9660
(617) 288-7898
Mailing address
637 WASHINGTON ST, DORCHESTER, MA 02124-3510
(617) 825-9660
(617) 288-7898
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
V112
MA
Other
Enumeration date
08/01/2007
Last updated
03/14/2018
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