Organization
TUFTS MEDICAL CENTER
Active
Other names
New England Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY ROGERS MOORE M.D. (RESIDENT)
(734) 377-1285
Entity
Organization
Contact information
Practice address
106A CREST AVE, REVERE, MA 02151-4117
(734) 377-1285
Mailing address
106A CREST AVE, REVERE, MA 02151-4117
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
237109
MA
Other
Enumeration date
08/07/2008
Last updated
09/14/2020
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