Organization
SQUARE MEDICAL GROUP LLC
Active
Other names
Square IOT Services
Organization subpart
Yes
Provider details
NPI number
Authorized official
JEFF GERSHMAN (CEO)
(617) 916-5069
Entity
Organization
Contact information
Practice address
124 WATERTOWN ST STE 2D, WATERTOWN, MA 02472-2599
(617) 916-5069
Mailing address
124 WATERTOWN ST STE 2D, WATERTOWN, MA 02472-2599
(617) 916-5069
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/08/2018
Last updated
10/08/2018
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