person
Miriam N Hernandez
Methadone Clinic in Boston, Massachusetts
NPI 1700464849

Miriam N Hernandez is a Methadone Clinic based in Boston, MA and is specialized in Methadone. Miriam N Hernandez practices in Boston, MA. The NPI Number for Miriam N Hernandez is 1700464849 and holds a License No. LN64374 (Massachusetts).

The current practice location address for Miriam N Hernandez is 23 Bradston St, Boston, MA and can be reached out via phone at 617-318-6480 and via fax at 617-427-1263. You can also correspond with Miriam N Hernandez through the mailing address at 23 BRADSTON ST, BOSTON, MA - 02118-2703 (mailing address contact number: 617-318-6480).

Location: 23 Bradston St, Boston, MA, 02118-2703
person
Provider Profile Details
NPI Number
1700464849
Provider Name
Miriam N Hernandez
Credential
Provider Entity Type
Individual
Gender
Female
Address
23 Bradston St, Boston, MA, 02118-2703
Phone Number
617-318-6480
Fax Number
617-427-1263
Provider Enumeration Date
03/30/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
23 Bradston St
City
State
Zip
02118-2703
Phone Number
617-318-6480
Fax Number
617-427-1263
person
Provider Business Mailing Address Details
Address
23 Bradston St
City
State
Zip
02118-2703
Phone Number
617-318-6480
Fax Number
617-427-1263
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Methadone
Taxonomy
License No.
LN64374 (Massachusetts)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
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