Organization
GENESIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN MARIE FRUZZETTI PTA (PTA)
(781) 848-3678
Entity
Organization
Contact information
Practice address
95 COMMERCIAL ST, BRAINTREE, MA 02184-4301
(781) 848-3678
Mailing address
954 MAIN ST, SOUTH WEYMOUTH, MA 02190-1657
(781) 308-5669
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2546
MA
Other
Enumeration date
01/26/2011
Last updated
01/26/2011
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