Melrose-wakefield Behavorial Health Center, P.c. | |
800 W Cummings Park Suite 4700 Woburn MA 01801-6372 | |
(781) 224-0661 | |
(781) 224-1993 |
Full Name | Melrose-wakefield Behavorial Health Center, P.c. |
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Speciality | Psychiatry & Neurology - Psychiatry |
Location | 800 W Cummings Park, Woburn, Massachusetts |
Authorized Official Name and Position | Lalith M. Tissera (MEDICAL DIRECTOR) |
Authorized Official Contact | 7812240661 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Melrose-wakefield Behavorial Health Center, P.c. 800 W Cummings Park Suite 4700 Woburn MA 01801-6372 Ph: (781) 224-0661 | Melrose-wakefield Behavorial Health Center, P.c. 800 W Cummings Park Suite 4700 Woburn MA 01801-6372 Ph: (781) 224-0661 |
NPI Number | 1326053786 |
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Provider Enumeration Date | 07/31/2006 |
Last Update Date | 02/29/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326053786 | NPI | - | NPPES |
3143741 | Medicaid | MA | |
007792 | Other | MA | VALUE OPTIONS |
M21864 | Other | MA | MEDICARE PIN |
G10083 | Other | MA | MEDICARE UPIN |
007792 | Other | MD | VALUE OPTIONS |
3143741 | Other | MA | MEDICAID |
776747 | Other | MA | TUFTS |
M19048 | Other | MA | BLUE CROSS BLUE SHIELD |
222936 | Other | MA | PACIFICARE |
A20487 | Other | MA | MEDICARE |
J16485 | Other | MA | BLUECROSSBLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 81635 (Massachusetts) | Primary |
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