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Organization

TRUSTEES OF TUFTS COLLEGE

Active
Parent organization
TRUSTEES OF TUFTS COLLEGE
Other names
Tufts PHDH Program
Organization subpart
Yes

Provider details

NPI number
Legal business name
TRUSTEES OF TUFTS COLLEGE
Authorized official
LISA GATELY (MANAGER)
(617) 636-6505
Entity
Organization

Contact information

Practice address
200 HARRISON AVE FL 2, BOSTON, MA 02111
(617) 636-4021
Mailing address
200 HARRISON AVE FL 2, BOSTON, MA 02111-1836
(617) 636-4021

Taxonomy

Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
DH0032PDO
MA
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
03/16/2018
Last updated
06/06/2018
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