| Tufts Craniofacial Pain Center | |
|
1 Kneeland St 6th Floor Boston MA 02111-1527 | |
| (617) 636-6817 | |
| (617) 636-3831 |
| Full Name | Tufts Craniofacial Pain Center |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1 Kneeland St, Boston, Massachusetts |
| Authorized Official Name and Position | Leopoldo Correa (PROGRAM DIRECTOR) |
| Authorized Official Contact | 6176363421 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tufts Craniofacial Pain Center 1 Kneeland St 6th Floor Boston MA 02111-1527 Ph: (617) 636-6817 | Tufts Craniofacial Pain Center 1 Kneeland St 6th Floor Boston MA 02111-1527 Ph: (617) 636-6817 |
| NPI Number | 1790955318 |
|---|---|
| Provider Enumeration Date | 03/11/2008 |
| Last Update Date | 04/09/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790955318 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X2210X | Dentist - Orofacial Pain | (* (Not Available)) | Secondary |
| 261QD0000X | Clinic/center - Dental | 4105 (Massachusetts) | Primary |
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