Healthcare Provider Details

I. General information

NPI: 1780606608
Provider Name (Legal Business Name): NORTH END COMMUNITY HEALTH COMMITTEE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2006
Last Update Date: 06/27/2022
Certification Date: 06/27/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

332 HANOVER STREET
BOSTON MA
02113
US

IV. Provider business mailing address

332 HANOVER STREET
BOSTON MA
02113
US

V. Phone/Fax

Practice location:
  • Phone: 617-643-8000
  • Fax: 617-643-8127
Mailing address:
  • Phone: 617-643-8000
  • Fax: 617-643-8127

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License Number4143
License Number StateMA

VIII. Authorized Official

Name: MR. VINCENZO SCIBELLI
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 617-643-8082