Organization

Boston Medical Center

May also be knows as Codman Square Health Center

Clinic/Center in Dorchester, MA(View on Map)

Legal Business Name

Boston Medical Center

Also Known As

Codman Square Health Center

NPI Number

1487844726

NPI Type

Organization

Enumeration Date

08/01/2007

Specialties

(Taxonomies)

Code

261Q00000X

Primary Taxonomy

Yes

Licenses

State

Massachusetts

License Number

V112

Contact
Information

Purpose

Mailing
Location

Address

637 WASHINGTON ST
637 WASHINGTON STREET

City

Dorchester
Dorchester

State

MA
MA

Postal Code

02124-3510
02124-3510

Country

US
US

Telephone Number

(617) 825-9660
(617) 825-9660

Authorized Official

Name

Trudy Griffin

Title or Position

CREDENTIALING COORDINATOR

Telephone Number

(617) 822-8382

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 03/14/2018

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