| |
1153 Centre St Suite 45 Boston MA 02130-3446 | |
(617) 522-9996 | |
(617) 524-6599 |
Full Name | |
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Speciality | Internal Medicine - Gastroenterology |
Location | 1153 Centre St, Boston, Massachusetts |
Authorized Official Name and Position | Nancy J Flanagan (PRACTICE MANAGER) |
Authorized Official Contact | 6175229996 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1153 Centre St Suite 45 Boston MA 02130-3446 Ph: (617) 522-9996 | 1153 Centre St Suite 45 Boston MA 02130-3446 Ph: (617) 522-9996 |
NPI Number | 1629189014 |
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Provider Enumeration Date | 08/31/2006 |
Last Update Date | 07/21/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1629189014 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | (Massachusetts) | Primary |
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