The Commonwealth of Massachusetts

Practice location

Address

460 Quincy Ave, Quincy, MA 02169-8130

Phone

(617) 626-9002

Fax

(617) 770-2953

Mailing address

167 Lyman St, Westborough, MA 01581-2619

Authorised official

Name

Susan Wing

Title

Ne/Suburban Area Director

Phone

(508) 616-3500

Registered specialties

Registry record

NPI

1407884059

Entity type

Organization

NPI issued

30 Jun 2006

Record last updated

9 Aug 2011

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.