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Organization
CHMC SURGICAL GYNECOLOGY GROUP
Active
Organization
CHMC SURGICAL GYNECOLOGY GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN FISHMAN MD (CHIEF, DEPARTMENT OF SURGERY)
(617) 355-3040
Entity
Organization
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
208000000X
Pediatrics Physician
—
NULL
208000000X
Pediatrics Physician
—
—
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
363LW0102X
Women's Health Nurse Practitioner
—
NULL
363LW0102X
Women's Health Nurse Practitioner
—
—
Other
Enumeration date
03/04/2020
Last updated
04/22/2025
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