| NPI | 1811490790 |
|---|---|
| Doing Business As | TUFTS PHDH PROGRAM |
| Entity Type | Organization |
| Authorized Contact | LISA GATELY Manager 617-636-6505 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health (Licence: MA DH0032PDO) |
| Enumeration Date | 2018-03-16 |
| Last Update Date | 2018-06-06 |