institution
Sidney Borum Jr. Health Center
Health Service Clinic/Center in Boston, Massachusetts
NPI 1306991088

Sidney Borum Jr. Health Center is a Health Service Clinic/Center based in Boston, MA and is specialized in Health Service. Sidney Borum Jr. Health Center practices in Boston, MA. The NPI Number for Sidney Borum Jr. Health Center is 1306991088 and holds a License No. 250429 (Massachusetts).

The current practice location address for Sidney Borum Jr. Health Center is 130 Boylston St, Boston, MA and can be reached out via phone at 617-457-8140 and via fax at 617-457-8141.

Location: 130 Boylston St, Boston, MA, 02116-4608
institution
Provider Profile Details
NPI Number
1306991088
Provider Name
Sidney Borum Jr. Health Center
Credential
Provider Entity Type
Organization
Address
130 Boylston St, Boston, MA, 02116-4608
Phone Number
617-457-8140
Fax Number
617-457-8141
Provider Enumeration Date
01/24/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
250429 01 MA STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
130 Boylston St
City
State
Zip
02116-4608
Phone Number
617-457-8140
Fax Number
617-457-8141
person
Provider Business Mailing Address Details
Address
130 Boylston St
City
State
Zip
02116-4608
Phone Number
617-457-8140
Fax Number
617-457-8141
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Health Service
Taxonomy
License No.
250429 (Massachusetts)
Definition
Definition to come...
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