| Central Square Medical Center Inc | |
|
40 Central Sq East Boston MA 02128-1911 | |
| (617) 202-9036 | |
| Not Available |
| Full Name | Central Square Medical Center Inc |
|---|---|
| Speciality | Clinic/center |
| Location | 40 Central Sq, East Boston, Massachusetts |
| Authorized Official Name and Position | Leonid Gorbatov (ADMINISTRATOR /OFFICER) |
| Authorized Official Contact | 3013663844 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Square Medical Center Inc 40 Central Sq East Boston MA 02128-1911 Ph: (617) 202-9036 | Central Square Medical Center Inc 40 Central Sq East Boston MA 02128-1911 Ph: (617) 202-9036 |
| NPI Number | 1750528352 |
|---|---|
| Provider Enumeration Date | 01/19/2009 |
| Last Update Date | 01/19/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750528352 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 261Q00000X (Massachusetts) | Primary |
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