| Organization Name: | ST. ELIZABETH MEDICAL CENTER |
| NPI Number: | 1003161589 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | VINCENZA GELARDI (SUGICAL EDUCATION COORDINATOR) |
| Mailing Address: | 172 Summer St Apt 8 Waltham |
| State: | MA US |
| Postal Code: | 024525647 |
| Phone Number: | 6175953797 |
| Fax Number: | |
| NPI Enumeration Date: | 07/19/2012 |
| NPI Last Update Date: | 07/19/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 282NC0060X |
| License Number: | 253000 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | General Acute Care Hospital |
| Taxonomy Specialization: | Critical Access |
| Taxonomy Definition: | |