Organization
JOSLIN CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANJEEV N MEHTA MD, MPH (SVP, CHIEF MEDICAL OFFICER)
(617) 309-2470
Entity
Organization
Contact information
Practice address
1 JOSLIN PL, BOSTON, MA 02215-5306
(617) 732-2501
Mailing address
1 JOSLIN PLACE, BOSTON, MA 02215
(617) 309-2400
(617) 309-2574
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
4S33
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9784373
—
MA
01
—
CH7221
RR MEDICARE
MA
Enumeration date
06/20/2006
Last updated
04/15/2021
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