Organization
CENTRAL SQUARE MEDICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEONID GORBATOV (ADMINISTRATOR /OFFICER)
(301) 366-3844
Entity
Organization
Contact information
Practice address
40 CENTRAL SQ, EAST BOSTON, MA 02128-1911
(617) 202-9036
Mailing address
40 CENTRAL SQ, EAST BOSTON, MA 02128-1911
(617) 202-9036
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
261Q00000X
MA
Other
Enumeration date
01/19/2009
Last updated
01/19/2009
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