Organization
MASSACHUSETTS MENTAL HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUAN RAUL CONDEMARIN MD (PSYCHIATRIST)
(617) 626-9587
Entity
Organization
Contact information
Practice address
180 MORTON ST, JAMAICA PLAIN, MA 02130-3735
(617) 626-9587
(617) 626-9578
Mailing address
180 MORTON ST, JAMAICA PLAIN, MA 02130-3735
(617) 626-9587
(617) 626-9578
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
216179
MA
Other
Enumeration date
01/16/2007
Last updated
11/07/2007
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