Organization
THE COMMONWEALTH OF MASSACHUSETTS
Active
Organization
THE COMMONWEALTH OF MASSACHUSETTS
Active
Parent organization
COMMONWEALTH OF MASSACHUSETTS
Other names
Massachusetts Department of Public Health
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMONWEALTH OF MASSACHUSETTS
Authorized official
KELLY DRISCOLL (CHIEF FINANCIAL OFFICER)
(617) 624-5246
Entity
Organization
Contact information
Practice address
305 SOUTH STREET, JAMAICA PLAIN, MA 02130-3515
(617) 983-6200
(617) 983-6211
Mailing address
250 WASHINGTON STREET, BOSTON, MA 02108-4603
(617) 624-6000
(617) 624-5206
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Enumeration date
12/05/2019
Last updated
12/05/2019
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