| NPI | 1689318503 |
|---|---|
| Other Name | FENWAY HEALTH GREEN STREET |
| Entity Type | Organization |
| Authorized Contact | MOIRE DANIEL Director Of Billing And Collections 617-927-6279 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2022-04-26 |
| Last Update Date | 2022-04-26 |