Golden Boxer Llc | |
175 Derby St Suite 21-22 Hingham MA 02043-4007 | |
(781) 214-4191 | |
Not Available |
Full Name | Golden Boxer Llc |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 175 Derby St, Hingham, Massachusetts |
Authorized Official Name and Position | Susan E Gallagher (OWNER) |
Authorized Official Contact | 6175967071 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Golden Boxer Llc 315 Gardner St Hingham MA 02043-3837 Ph: (617) 596-7071 | Golden Boxer Llc 175 Derby St Suite 21-22 Hingham MA 02043-4007 Ph: (781) 214-4191 |
NPI Number | 1992191985 |
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Provider Enumeration Date | 04/07/2015 |
Last Update Date | 04/07/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992191985 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 112152 (Massachusetts) | Primary |
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