Organization
TRUSTEES OF TUFTS COLLEGE
Active
Parent organization
TRUSTEES OF TUFTS COLLEGE
Other names
Tufts Oral Pathology Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
TRUSTEES OF TUFTS COLLEGE
Authorized official
LISA GATELY (CREDENTIALING)
(617) 636-6505
Entity
Organization
Contact information
Practice address
1 KNEELAND ST, DHS-646, BOSTON, MA 02111-1527
(617) 636-6510
(617) 636-6780
Mailing address
1 KNEELAND ST, DHS-646, BOSTON, MA 02111-1527
(617) 636-6510
(617) 636-6780
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110000011O
—
MA
01
—
228200
BLUE CROSS BLUE SHIELD
—
Enumeration date
02/13/2007
Last updated
07/12/2023
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