# HARVARD UNIVERSITY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043767577
- **Authorized official:** ANN BACKUS (PROGRAM CO-ORDINATOR)
- **Authorized official phone:** (603) 361-2141

## Contact information

- **Practice address:** 677 HUNTINGTON AVE, BOSTON, MA 02115-6028
- **Practice address phone:** (603) 361-2141
- **Mailing address:** 1575 TREMONT ST, THE LONGWOOD APT. 701, BOSTON, MA 02120-1677
- **Mailing address phone:** (857) 352-7845

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QX0100X | Occupational Medicine Clinic/Center | 265320 | MA | Yes |

## Other

- **Enumeration date:** 09/01/2016
- **Last updated:** 09/01/2016