institution
Mass General Waltham
Health Service Clinic/Center in Waltham, Massachusetts
NPI 1710070313

Mass General Waltham is a Health Service Clinic/Center based in Boston, MA and is specialized in Health Service. Mass General Waltham practices in Waltham, MA. The NPI Number for Mass General Waltham is 1710070313 and holds a License No. MA0049076 (Massachusetts).

The current practice location address for Mass General Waltham is 52 Second Ave Fl 4, Waltham, MA and can be reached out via phone at 781-487-4390 and via fax at 781-487-4391. You can also correspond with Mass General Waltham through the mailing address at 55 FRUIT ST, BOSTON, MA - 02114-2621 (mailing address contact number: 781-487-4390).

Location: 52 Second Ave Fl 4, Waltham, MA, 02114-2621
institution
Provider Profile Details
NPI Number
1710070313
Provider Name
Mass General Waltham
Credential
Provider Entity Type
Organization
Address
52 Second Ave Fl 4, Waltham, MA, 02114-2621
Phone Number
781-487-4390
Fax Number
781-487-4391
Provider Enumeration Date
10/02/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0447641 05 MA
institution
Provider Business Practice Location Address Details
Address
52 Second Ave Fl 4
City
State
Zip
02451-1127
Phone Number
781-487-4390
Fax Number
781-487-4391
person
Provider Business Mailing Address Details
Address
52 Second Ave Fl 4
City
State
Zip
02451-1127
Phone Number
781-487-4390
Fax Number
781-487-4391
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Health Service
Taxonomy
License No.
MA0049076 (Massachusetts)
Definition
Definition to come...
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