| Dba Dept Of Psychiatry | |
|
75 Francis St Boston MA 02115-6110 | |
| (617) 732-5500 | |
| Not Available |
| Full Name | Dba Dept Of Psychiatry |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 75 Francis St, Boston, Massachusetts |
| Authorized Official Name and Position | William C Johnston (CFO) |
| Authorized Official Contact | 6177132263 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dba Dept Of Psychiatry 111 Cypress St Brookline MA 02445-6002 Ph: (617) 582-1200 | Dba Dept Of Psychiatry 75 Francis St Boston MA 02115-6110 Ph: (617) 732-5500 |
| NPI Number | 1265450704 |
|---|---|
| Provider Enumeration Date | 07/17/2006 |
| Last Update Date | 04/07/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265450704 | NPI | - | NPPES |
| M18094 | Other | MA | BCBS PSYCHIATRY GRP # |
| 9724541 | Medicaid | MA |
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