| Organization Name: | URGENT CARE AT CHISHOLM-DEMERTINE CLINIC |
| NPI Number: | 1780945121 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | J. MARCEL-ST-LOUIS DEMERTINE (DOCTOR) |
| Mailing Address: | 581 Boylston St Suite 801 Boston |
| State: | MA US |
| Postal Code: | 021163608 |
| Phone Number: | 6172471400 |
| Fax Number: | 6172471401 |
| NPI Enumeration Date: | 06/01/2012 |
| NPI Last Update Date: | 12/27/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 76898 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |