Organization
DOCTHOR P.C.
Active
Other names
ADHD Boston
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOR CHRISTIAN BERGERSEN M.D. (MEDICAL DIRECTOR)
(781) 726-6698
Entity
Organization
Contact information
Practice address
75 2ND AVE., SUITE 310, NEEDHAM, MA 02494
(781) 726-6698
(617) 326-8314
Mailing address
75 2ND AVE., SUITE 310, NEEDHAM, MA 02494
(781) 726-6698
(617) 326-8314
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
204123
MA
261QM0855X
Adolescent and Children Mental Health Clinic/Center
204123
MA
Other
Enumeration date
11/20/2014
Last updated
11/20/2014
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