NPI 1225358245

Eliot Community Service Agency

Organisation Health Maintenance Organization Medford, MA

Practice location

Address: 10 Cabot Rd, Medford, MA 02155-5177
Phone: (617) 304-6320
Mailing address: 10 Cabot Road, Medford, MA 02155

Authorised official

Name: Marc Richute
Title: Family Partner
Phone: (617) 304-6320

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X

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Registry record

NPI: 1225358245
Entity type: Organization
NPI issued: 2 Jun 2010
Record last updated: 2 Jun 2010

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.