Organization
MASSACHUSETTS WELLNESS GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL CAMPANALE (OWNER)
(617) 947-1666
Entity
Organization
Contact information
Practice address
360 BROCKTON AVE, SUITE 203, ABINGTON, MA 02351-2186
(781) 982-0100
Mailing address
360 BROCKTON AVE, SUITE 203, ABINGTON, MA 02351-2186
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Enumeration date
01/25/2012
Last updated
01/25/2012
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