| NPI | 1770142945 |
|---|---|
| Doing Business As | CWM - VACCINE PROGRAM |
| Entity Type | Organization |
| Authorized Contact | ROSEMARIE BONAVENTURA Deputy Director 617-886-8013 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251K00000X Public Health or Welfare |
| Additional Taxonomies | 261QP0905X Clinic/Center, Public Health, State or Local |
| Enumeration Date | 2019-06-11 |
| Last Update Date | 2019-06-11 |