# BOSTON MEDICAL CENTER

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

## Provider details

- **NPI number:** 1174748701
- **Authorized official:** MS. ELAINE RUSSO BOUCHER RN. NP. (NURSE PRACTITIONER)
- **Authorized official phone:** (617) 414-8258

## Contact information

- **Practice address:** 732 HARRISON AVE, SUITE 500, BOSTON, MA 02118-2309
- **Practice address phone:** (617) 638-8400
- **Practice address fax:** (617) 638-8406
- **Mailing address:** 18 WAREHAM ST, MEDFORD, MA 02155-6222
- **Mailing address phone:** (617) 638-8400
- **Mailing address fax:** (617) 638-8406

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | MA106293 | MA | Yes |

## Other

- **Enumeration date:** 04/17/2007
- **Last updated:** 08/07/2008