Organization
BRAINTREE FAMILY PHYSICIAN INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. E JOHN LENTINI DO (PRESIDENT OF BRAINTREE FAMILY PYSIC)
(781) 848-1555
Entity
Organization
Contact information
Practice address
382 GROVE STREET, BRAINTREE, MA 02184
(781) 848-1555
(781) 848-2312
Mailing address
382 GROVE STREET, BRAINTREE, MA 02184
(781) 848-1555
(781) 848-2312
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
27809
MA
207Q00000X
Family Medicine Physician
Primary
71650
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9762957
—
MA
Enumeration date
03/23/2007
Last updated
09/01/2009
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