COMMONWEALTH OF MASSACHUSETTS is a student health clinic center in Buzzards Bay, MA. COMMONWEALTH OF MASSACHUSETTS NPI is 1902240047. The provider is registered as an organization entity type.
The provider Other Name Is Massachusetts Maritime Academy.
The provider's business location address is:
101 ACADEMY DR
HEALTH SERVICES
BUZZARDS BAY, MA
ZIP 02532-405
Phone: (508) 830-5048
Fax: (508) 830-5004
The provider's authorized official is Jeffrey Cukor .
The authorized official title is Director, Health Services and has the following contact phone number (508) 830-5048.
The CLIA number assigned to this NPI record is 22D1017765 - school/student health service with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 4/19/2013 and was last updated on 4/19/2013.