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Organization

HALLMARK HEALTH MEDICAL ASSOCIATES INC

Active
Parent organization
HALLMARK HEALTH CORPORATION
Other names
HHMA #2-Non-PCHI
Organization subpart
Yes

Provider details

NPI number
Legal business name
HALLMARK HEALTH CORPORATION
Authorized official
MR. MICHAEL S TURILLI (VICE PRESIDENT FISCAL SERVICES)
(781) 338-7415
Entity
Organization

Contact information

Practice address
170 GOVERNORS AVE, HALLMARK HEALTH MEDICAL ASSOCIATES INC (#2)-NON-PCHI, MEDFORD, MA 02155-1643
(781) 338-7170
(781) 338-7173
Mailing address
PO BOX 3237, HALLMARK HEALTH MEDICAL ASSOCIATES INC (#2)-NON-PCHI, WOBURN, MA 01888-3237
(781) 338-7170
(781) 338-7173

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
207VX0000X
Obstetrics Physician
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NON-PCHI GROUP
BCBS
MA
Enumeration date
09/23/2008
Last updated
04/29/2010
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