Organization
COMMONWEALTH COMMUNITY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BARBARA HANTZ (ADMIN DIRECTOR)
(617) 304-5905
Entity
Organization
Contact information
Practice address
30 NORTHAMPTON STREET, BOSTON, MA 02118
(617) 433-9601
(617) 445-6538
Mailing address
30 NORTHAMPTON STREET, BOSTON, MA 02118
(617) 433-9601
(617) 445-6538
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
10/08/2015
Last updated
08/24/2017
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