Organization
DOTHOUSE HEALTH INC.
Active
Parent organization
DOTHOUSE HEALTH INC.
Other names
DotHouse Health
Organization subpart
Yes
Provider details
NPI number
Legal business name
DOTHOUSE HEALTH INC.
Authorized official
SHARON CHAMPION (CREDENTIALING COORDINATOR)
(617) 740-2277
Entity
Organization
Contact information
Practice address
1353 DORCHESTER AVE, DORCHESTER, MA 02122-2932
(617) 740-2200
(617) 825-4972
Mailing address
1353 DORCHESTER AVE, DORCHESTER, MA 02122-2932
(617) 740-2200
(617) 825-4972
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1211765
—
MA
01
—
BD8771140
FED. CONTROLLED SUBSTANCE
MA
Enumeration date
05/13/2006
Last updated
07/16/2020
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