| Bostonva Health Care System | |
|
940 Belmont St 11pc Brockton MA 02301-5596 | |
| (508) 583-4500 | |
| Not Available |
| Full Name | Bostonva Health Care System |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 940 Belmont St, Brockton, Massachusetts |
| Authorized Official Name and Position | Marcia Ellen Graber (NURSE PRACTITIONER) |
| Authorized Official Contact | 5085834500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bostonva Health Care System 940 Belmont St 11pc Brockton MA 02301-5596 Ph: () - | Bostonva Health Care System 940 Belmont St 11pc Brockton MA 02301-5596 Ph: (508) 583-4500 |
| NPI Number | 1386740538 |
|---|---|
| Provider Enumeration Date | 09/15/2006 |
| Last Update Date | 08/07/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386740538 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 143788 (Massachusetts) | Primary |
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