NPI 1306977822
Commonwealth of Mass - DDS
Practice location
- Address
- 200 Trapelo Road, Belmont, MA 02452-6302
- Phone
- (781) 894-3600
- Mailing address
- 500 Harrison Ave, Boston, MA 02118-2439
Authorised official
- Name
- Jeanette Maillet
- Title
- Chief Financial Officer
- Phone
- (617) 727-5608
Registered specialties
Intellectual Disabilities Intermediate Care Facility
Primary
Registry record
- NPI
- 1306977822
- Entity type
- Organization
- NPI issued
- 8 Mar 2007
- Record last updated
- 1 Oct 2009
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.