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Organization

BOSTON PSYCHIATRIC ALLIANCE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAN PETER URKEVIC MD (DIRECTOR/PRESIDENT)
(617) 291-1440
Entity
Organization

Contact information

Practice address
26 WOLCOTT RD, MILTON, MA 02186-1222
(617) 291-1440
(617) 361-1105
Mailing address
26 WOLCOTT RD, MILTON, MA 02186-1222
(617) 291-1440
(617) 361-1105

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary

Other

Enumeration date
10/17/2023
Last updated
10/17/2023
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