| NPI | 1487844726 |
|---|---|
| Other Name | CODMAN SQUARE HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | TRUDY GRIFFIN Credentialing Coordinator 617-822-8382 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X (Licence: MA V112) |
| Enumeration Date | 2007-08-01 |
| Last Update Date | 2018-03-14 |