Individual
STEPHEN COLCHAMIRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3297 WASHINGTON STREET, BROOKSIDE COMMUNITY HEALTH CENTER, JAMAICA PLAIN, MA 02130
(617) 522-4700
Mailing address
3297 WASHINGTON STREET, BROOKSIDE COMMUNITY HEALTH CENTER, JAMAICA PLAIN, MA 02130
(617) 522-4700
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11321
MA
Other
Enumeration date
05/12/2006
Last updated
05/22/2013
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