Organization Name: | MASS GENERAL PHYSICIANS ORG-HEMOPHILIA |
NPI Number: | 1215340104 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GREGORY J PAULY (CHIEF OPERATING OFFICER) |
Mailing Address: | 55 Fruit St Yawkey, Suite 7 Boston |
State: | MA US |
Postal Code: | 021142621 |
Phone Number: | 6176430310 |
Fax Number: | |
NPI Enumeration Date: | 06/09/2014 |
NPI Last Update Date: | 06/09/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |