| Mass General Revere Healthcare Center | |
|
300 Ocean Ave Revere MA 02151-3675 | |
| (781) 485-6000 | |
| (781) 485-6230 |
| Full Name | Mass General Revere Healthcare Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 300 Ocean Ave, Revere, Massachusetts |
| Authorized Official Name and Position | Christine Louise Daniels (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 7814956039 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mass General Revere Healthcare Center 300 Ocean Ave Revere MA 02151-3675 Ph: (781) 485-6000 | Mass General Revere Healthcare Center 300 Ocean Ave Revere MA 02151-3675 Ph: (781) 485-6000 |
| NPI Number | 1386839629 |
|---|---|
| Provider Enumeration Date | 09/10/2007 |
| Last Update Date | 09/10/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386839629 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 214161 (Massachusetts) | Primary |
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