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Organization

PHYSICAL THERAPY OF GREATER MATTAPAN PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. FERISH GOLDIN M.D. (PRESIDENT)
(617) 783-5783
Entity
Organization

Contact information

Practice address
1613 BLUE HILL AVE, SUITE 307, MATTAPAN, MA 02126-2123
(617) 783-5783
Mailing address
1613 BLUE HILL AVENUE, SUITE 307, MATTAPAN, MA 02126-2213
(617) 783-5783

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary

Other

Enumeration date
09/13/2010
Last updated
12/18/2012
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