Organization
TUFTS UNIVERSITY
Active
Other names
Clinical Affaris
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BETH ANN CONANT (DIRECTOR OF FINANCE AND ADMIN)
(617) 636-6842
Entity
Organization
Contact information
Practice address
1 KNEELAND ST, CLINIC BUSINESS OFFICE, BOSTON, MA 02111-1527
(617) 636-3746
(617) 636-6994
Mailing address
1 KNEELAND ST FL 3, BOSTON, MA 02111-1527
(617) 636-3746
(617) 636-6994
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
4105
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0241695
—
MA
05
—
0241822
—
MA
Enumeration date
04/10/2007
Last updated
04/29/2025
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