Organization
BOSTON MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA FITZGERALD MD (MEDICAL DIRECTOR CSU)
(617) 414-4242
Entity
Organization
Contact information
Practice address
272 ALBION ST, APT 3, WAKEFIELD, MA 01880-3154
(781) 718-0199
Mailing address
85 E NEWTON ST, 6TH FLOOR ROOM 601, BOSTON, MA 02118-2340
(617) 414-8331
(617) 414-8319
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
268132
MA
Other
Enumeration date
08/10/2007
Last updated
10/05/2007
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