Organization
CAMBRIDGE PUBLIC HEALTH COMMISSION/DBA/CAMBRIDGE HEALTH ALLIANCE
Active
Other names
CHAPO
Organization subpart
No
Provider details
NPI number
Authorized official
DAVE J PORELL (CHAPO CAO)
(617) 499-6621
Entity
Organization
Contact information
Practice address
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139-1047
(617) 665-1000
Mailing address
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139-1047
(617) 665-1000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
IN PROCESS
BCBS NON PCHI GROUP
—
Enumeration date
09/09/2009
Last updated
09/09/2009
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