Organization
COMMONWEALTH CARE ALLIANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TOYIN AJAY MD (CHIEF MEDICAL OFFICER)
(617) 600-3195
Entity
Organization
Contact information
Practice address
100 BLIGH ST, TEWKSBURY, MA 01876-1377
(978) 640-0988
Mailing address
529 MAIN ST, CHARLESTOWN, MA 02129-1125
(617) 600-3195
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
187374
MA
Other
Enumeration date
04/04/2016
Last updated
04/04/2016
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