| Mind Body Medical Associates, Inc. | |
|
824 Boylston St Chestnut Hill MA 02467-2508 | |
| (781) 373-9990 | |
| Not Available |
| Full Name | Mind Body Medical Associates, Inc. |
|---|---|
| Speciality | Counselor |
| Location | 824 Boylston St, Chestnut Hill, Massachusetts |
| Authorized Official Name and Position | Janet Kertis Fronk (PRESIDENT) |
| Authorized Official Contact | 7813739990 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mind Body Medical Associates, Inc. 110 Ash St Weston MA 02493-1928 Ph: () - | Mind Body Medical Associates, Inc. 824 Boylston St Chestnut Hill MA 02467-2508 Ph: (781) 373-9990 |
| NPI Number | 1295990513 |
|---|---|
| Provider Enumeration Date | 07/25/2008 |
| Last Update Date | 07/25/2008 |
| Medicare PECOS PAC ID | 5395807796 |
|---|---|
| Medicare Enrollment ID | O20081218000498 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295990513 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | PN97698 (Massachusetts) | Primary |
| Provider Name | Janet K Fronk |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1316003387 PECOS PAC ID: 6305941568 Enrollment ID: I20070417000177 |
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