Organization
ATREVA HEALTH CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANCISCO TRILLA M.D. (PRESIDENT)
(617) 524-2121
Entity
Organization
Contact information
Practice address
770 CENTRE ST, JAMAICA PLAIN, MA 02130-2706
(617) 524-2121
(617) 524-3810
Mailing address
770 CENTRE ST, JAMAICA PLAIN, MA 02130-2706
(617) 524-2121
(617) 524-3810
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9712836
—
MA
Enumeration date
02/18/2007
Last updated
08/22/2020
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