THE COMMONWEALTH OF MASSACHUSETTS

NPI # 

Practice Address:

170 Morton Street

Jamaica Plain, MA, 02130-3735

Practice Phone:

617-522-8110

Practice Fax:

617-971-3850

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Public Health, State or Local

Taxonomy Code:

261QP0905X