NPI 1053438739

Commonwealth of Massachusetts

Organisation Case Management Agency Boston, MA

Practice location

Address: 85 E Newton St, Boston, MA 02118-2340
Phone: (617) 626-8700
Fax: (617) 626-8929

Authorised official

Name: Carol Vanbommel
Title: Site Director
Phone: (617) 626-8700

Registered specialties

Case Management Agency Primary

Agencies Taxonomy 251B00000X

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Registry record

NPI: 1053438739
Entity type: Organization
NPI issued: 26 Mar 2007
Record last updated: 22 Aug 2020

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.