R T Neuro Llc | |
49 Waltham St Ste 2 Lexington MA 02421-5411 | |
(978) 995-7740 | |
(888) 695-7775 |
Full Name | R T Neuro Llc |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 49 Waltham St Ste 2, Lexington, Massachusetts |
Authorized Official Name and Position | Jotham Busfield (OWNER) |
Authorized Official Contact | 9789957740 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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R T Neuro Llc 35 Oliver St Framingham MA 01702-6425 Ph: (978) 995-7740 | R T Neuro Llc 49 Waltham St Ste 2 Lexington MA 02421-5411 Ph: (978) 995-7740 |
NPI Number | 1104518976 |
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Provider Enumeration Date | 05/22/2023 |
Last Update Date | 05/22/2023 |
Certification Date | 05/22/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104518976 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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