Organization
USCG ISC BOSTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIANA RODRIGUEZ MD (CHIEF, HEALTH SERVICES DIVISION)
(617) 223-3121
Entity
Organization
Contact information
Practice address
427 COMMERCIAL STREET, BOSTON, MA 02109
(617) 223-3121
(617) 223-3038
Mailing address
427 COMMERCIAL STREET, BOSTON, MA 02109
(617) 223-3121
(617) 223-3038
Taxonomy
Speciality
Code
Description
License number
State
261QM1100X
Military/U.S. Coast Guard Outpatient Clinic/Center
Primary
—
—
Other
Enumeration date
10/25/2006
Last updated
08/22/2020
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