| Medical Associates Of Ebnhc | |
|
10 Gove St East Boston MA 02128-1920 | |
| (617) 569-5800 | |
| (617) 568-4780 |
| Full Name | Medical Associates Of Ebnhc |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 10 Gove St, East Boston, Massachusetts |
| Authorized Official Name and Position | James O Taylor (CHIEF MEDICAL OFFICER) |
| Authorized Official Contact | 6175695800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Associates Of Ebnhc 10 Gove St East Boston MA 02128-1920 Ph: (617) 569-5800 | Medical Associates Of Ebnhc 10 Gove St East Boston MA 02128-1920 Ph: (617) 569-5800 |
| NPI Number | 1255451597 |
|---|---|
| Provider Enumeration Date | 03/30/2007 |
| Last Update Date | 04/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255451597 | NPI | - | NPPES |
| 1211773 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
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