THE COMMONWEALTH OF MASSACHUSETTS

NPI # 

Practice Address:

20 Bradston Street

Boston, MA, 02118

Practice Phone:

617-635-1000

Practice Fax:

617-704-6558

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Prison Health

Taxonomy Code:

261QP2400X