Organization
HALLMARK HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES WHIPPLE (GENERAL COUNSEL)
(781) 979-3050
Entity
Organization
Contact information
Practice address
170 GOVERNORS AVE, MEDFORD, MA 02155-1643
(781) 979-3050
Mailing address
170 GOVERNORS AVE, MEDFORD, MA 02155-1643
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
VKB3
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0923974
—
MA
01
—
682720
TU REHABILITATION UNIT
MA
01
—
MEL2222560501
BC REHABILITATION UNIT
MA
Enumeration date
02/07/2007
Last updated
08/22/2020
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