Tufts Phdh Program | |
200 Harrison Ave Fl 2 Boston MA 02111 | |
(617) 636-4021 | |
Not Available |
Full Name | Tufts Phdh Program |
---|---|
Speciality | Clinic/center - Dental |
Location | 200 Harrison Ave Fl 2, Boston, Massachusetts |
Authorized Official Name and Position | Lisa Gately (MANAGER) |
Authorized Official Contact | 6176366505 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Tufts Phdh Program 200 Harrison Ave Fl 2 Boston MA 02111-1836 Ph: (617) 636-4021 | Tufts Phdh Program 200 Harrison Ave Fl 2 Boston MA 02111 Ph: (617) 636-4021 |
NPI Number | 1811490790 |
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Provider Enumeration Date | 03/16/2018 |
Last Update Date | 06/06/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811490790 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QC1500X | Clinic/center - Community Health | DH0032PDO (Massachusetts) | Secondary |
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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