NPI 1003770736
Codman Square Health Center
Practice location
- Address
- 42 Highland Avenue, Randolph, MA 02368-0000
- Phone
- (617) 825-9660
- Fax
- (617) 288-7898
- Mailing address
- 637 Washington St, Dorchester, MA 02124-3510
Authorised official
- Name
- Guy Fish
- Title
- Ceo
- Phone
- (617) 825-9660
Registered specialties
Community Health Clinic/Center
Primary
Registry record
- NPI
- 1003770736
- Entity type
- Organization
- NPI issued
- 16 Dec 2025
- Record last updated
- 16 Dec 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.