| Cambridge Ketamine Pc | |
|
6 Bigelow St Cambridge MA 02139-2384 | |
| (617) 803-9722 | |
| (617) 945-7063 |
| Full Name | Cambridge Ketamine Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 6 Bigelow St, Cambridge, Massachusetts |
| Authorized Official Name and Position | Emily Monich (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 6174538931 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cambridge Ketamine Pc 6 Bigelow St Cambridge MA 02139-2384 Ph: (617) 803-9722 | Cambridge Ketamine Pc 6 Bigelow St Cambridge MA 02139-2384 Ph: (617) 803-9722 |
| NPI Number | 1366062226 |
|---|---|
| Provider Enumeration Date | 04/21/2020 |
| Last Update Date | 04/21/2020 |
| Certification Date | 04/21/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366062226 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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