NPI:
1609142017
Provider Name:
BOSTON CENTER FOR MEMORY, INC
Former Legal Business Name: BOSTON CENTER FOR MEMORY, INC
Classification:
Psychiatry & Neurology - 2084B0040X
Entity Type:
Organization
Specialization: Behavioral Neurology & Neuropsychiatry
CLIA Number: 22D2051210
Address:
180 WELLS AVE.
SUITE 304
NEWTON, MA
ZIP 02459
Phone:
(617) 699-6927
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BOSTON CENTER FOR MEMORY, INC is a behavioral neurology and neuropsychiatry psychiatry neurology in Newton, MA. The provider is behavioral Neurology & Neuropsychiatry is a medical subspecialty involving the diagnosis and treatment of neurologically based behavioral issues. BOSTON CENTER FOR MEMORY, INC NPI is 1609142017. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Boston Center For Memory, Inc.
The provider's business location address is:
180 WELLS AVE.
SUITE 304
NEWTON, MA
ZIP 02459
Phone: (617) 699-6927
Fax: (617) 383-5874
The provider's authorized official is Elizabeth Vasey .
The authorized official title is Manager and has the following contact phone number (978) 993-7168.
The CLIA number assigned to this NPI record is 22D2051210 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 3/29/2012 and was last updated on 5/4/2021.