| Gavin Foundation | |
|
49 L St South Boston MA 02127-1511 | |
| (617) 268-5000 | |
| (617) 268-5008 |
| Full Name | Gavin Foundation |
|---|---|
| Speciality | Clinic/center |
| Location | 49 L St, South Boston, Massachusetts |
| Authorized Official Name and Position | John Mcgahan (PRESIDENT/CEO) |
| Authorized Official Contact | 6172685517 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gavin Foundation 675 E 4th St South Boston MA 02127-3063 Ph: (617) 268-5517 | Gavin Foundation 49 L St South Boston MA 02127-1511 Ph: (617) 268-5000 |
| NPI Number | 1396079414 |
|---|---|
| Provider Enumeration Date | 09/22/2009 |
| Last Update Date | 09/22/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396079414 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 0853 (Massachusetts) | Primary |
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