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Organization

CARITAS MEDICAL GROUP, INC

Active
Other names
Seton Pathology Associates
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID RICKLAN MD (PRESIDENT)
(617) 789-3000
Entity
Organization

Contact information

Practice address
736 CAMBRIDGE ST, C/O CARITAS ST. ELIZABETHS MEDICAL CENTER, BRIGHTON, MA 02135-2907
(617) 789-3000
Mailing address
736 CAMBRIDGE ST, C/O CARITAS ST. ELIZABETHS MEDICAL CENTER, BRIGHTON, MA 02135-2907
(617) 789-3000

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9781633
MA
Enumeration date
08/23/2006
Last updated
06/08/2010
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