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Organization

SQUARE KNOT PROFESSIONAL SERVICES LLC

Active
Other names
Square Knot Health
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ELIOT CHARLES HEHER MD (PRESIDENT)
(617) 468-4247
Entity
Organization

Contact information

Practice address
240 MOUNT VERNON ST, WEST NEWTON, MA 02465-2519
(617) 468-4245
(617) 468-4556
Mailing address
240 MOUNT VERNON ST, WEST NEWTON, MA 02465-2519
(617) 468-4245
(617) 468-4556

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary

Other

Enumeration date
06/15/2021
Last updated
06/15/2021
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