Organization
CORRECTIONAL PSYCHIATRIC SERVICES
Active
Other names
Correctional Medical Services
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAHLID MOHAMED MD (MEDICAL DIRECTOR)
(617) 494-4439
Entity
Organization
Contact information
Practice address
40 THORNDIKE ST, CAMBRIDGE, MA 02141-1715
(617) 494-4439
Mailing address
40 THORNDIKE ST, CAMBRIDGE, MA 02141-1715
Taxonomy
Speciality
Code
Description
License number
State
261QP2400X
Prison Health Clinic/Center
Primary
128714
MA
Other
Enumeration date
03/24/2010
Last updated
03/24/2010
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