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1043513427
AMERICAN MEDICAL GROUP
JAMAICA PLAIN, MA
NPI
1043513427
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Entity Type
Organization
Authorized Contact
MARK LIQUE
President
617-522-9200
Organization Subpart ?
No
Primary Taxonomy
111NR0400X
(Licence: MA 2921)
Enumeration Date
2010-12-07
Last Update Date
2010-12-07
Business Address
AMERICAN MEDICAL GROUP
408 S HUNTINGTON AVE
JAMAICA PLAIN, MA 02130-4814
Phone number: 617-522-9200
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Mailing Address
AMERICAN MEDICAL GROUP
408 S HUNTINGTON AVE
JAMAICA PLAIN, MA 02130-4814
Phone number: 617-522-9200
Copy
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