ID OF MASSACHUSETTS LLC

QUINCY, MA
NPI1477229326
Entity TypeOrganization
Authorized ContactJENNIFER T HALEY
Authorized Group Official
561-314-2000
Organization Subpart ?No
Primary Taxonomy207N00000X Dermatology
Enumeration Date2021-08-20
Last Update Date2021-08-20
Business Address
ID OF MASSACHUSETTS LLC
500 CONGRESS ST STE B1
QUINCY, MA 02169-0917
Phone number: 617-472-6764
Mailing Address
ID OF MASSACHUSETTS LLC
4700 EXCHANGE CT STE 110
BOCA RATON, FL 33431-4450
Phone number: 561-314-2000
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