Organization
COMMONWEALTH CARE ALLIANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JANET THERESA NORTON RN, CMC, CPC (DIRECTOR CLINICAL DOCUMETATION TEAM)
(617) 600-3195
Entity
Organization
Contact information
Practice address
529 MAIN ST, SUITE 222, CHARLESTOWN, MA 02129-1125
(617) 600-3195
(617) 924-1207
Mailing address
529 MAIN ST, SUITE 222, CHARLESTOWN, MA 02129-1125
(617) 600-3195
(617) 924-1207
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
164402
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
163WA2000X
—
MA
05
—
163WC1500X
—
MA
Enumeration date
03/25/2016
Last updated
03/25/2016
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