The Commonwealth Of Massachusetts

Specialty details in registry · Jamaica Plain, MA

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At a glance

170 Morton Street, Jamaica Plain, MA 02130-3735

NPPES record updated Mar 28, 2022. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

170 Morton Street
Jamaica Plain, MA 02130-3735
Professional details: NPI, taxonomy & registry record
NPI1275612103
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
282E00000X
Enumeration date
Nov 2, 2006
Record updated
Mar 28, 2022
More registry details
Provider type
Organization · Type 2
Other reported name
<UNAVAIL>

Reported taxonomies and licenses

Specialty details in registry

261QP0905X

Specialty details in registry

281P00000X

Specialty details in registry

282E00000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

170 Morton Street
Jamaica Plain, MA 02130-3735
Phone
(617) 522-8110
Fax
(617) 971-3850
Mailing address
170 MORTON STREET

JAMAICA PLAIN, MA 021303735
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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