| Boston Healthcare Va | |
|
204 Bellingham Ave Revere MA 02151-4106 | |
| (440) 915-6515 | |
| Not Available |
| Full Name | Boston Healthcare Va |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 204 Bellingham Ave, Revere, Massachusetts |
| Authorized Official Name and Position | Adriana Faur (POSTDOCTORAL FELLOW) |
| Authorized Official Contact | 8573644122 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Boston Healthcare Va 204 Bellingham Ave Revere MA 02151-4106 Ph: (440) 915-6515 | Boston Healthcare Va 204 Bellingham Ave Revere MA 02151-4106 Ph: (440) 915-6515 |
| NPI Number | 1467641126 |
|---|---|
| Provider Enumeration Date | 10/18/2007 |
| Last Update Date | 10/30/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467641126 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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