# CHMC SURGICAL GYNECOLOGY GROUP

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

## Provider details

- **NPI number:** 1295360824
- **Authorized official:** STEVEN FISHMAN MD (CHIEF, DEPARTMENT OF SURGERY)
- **Authorized official phone:** (617) 355-3040

## Contact information

- **Practice address:** 300 LONGWOOD AVE, BOSTON, MA 02115-5724
- **Practice address phone:** (617) 355-6000
- **Mailing address:** 300 LONGWOOD AVE, BOSTON, MA 02115-5724
- **Mailing address phone:** (617) 355-6000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |
| 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