# MASS GENERAL PHYSICIANS ORG-HEMOPHILIA

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

## Provider details

- **NPI number:** 1215340104
- **Authorized official:** MR. GREGORY J PAULY (CHIEF OPERATING OFFICER)
- **Authorized official phone:** (617) 724-7713

## Contact information

- **Practice address:** 55 FRUIT ST, YAWKEY, SUITE 7, BOSTON, MA 02114-2621
- **Practice address phone:** (617) 643-0310
- **Mailing address:** PO BOX 9142, CHARLESTOWN, MA 02129-9142
- **Mailing address phone:** (617) 643-0310

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 202K00000X | Phlebology Physician | — | NULL | Yes |
| 202K00000X | Phlebology Physician | — | — | Yes |
| 208D00000X | General Practice Physician | — | NULL | — |
| 208D00000X | General Practice Physician | — | — | — |

## Other

- **Enumeration date:** 06/09/2014
- **Last updated:** 06/09/2014
