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Organization
BOSTON CHILDREN'S HOSPITAL
Active
Organization
BOSTON CHILDREN'S HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLEO HEREFORD (SENIOR ADMINISTRATIVE ASSOCIATE, PS)
(617) 355-2288
Entity
Organization
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 919-3203
Mailing address
124 BYNNER ST, APARTMENT 2, JAMAICA PLAIN, MA 02130-1043
Taxonomy
Speciality
Code
Description
License number
State
282NC2000X
Children's Hospital
Primary
9975
MA
Other
Enumeration date
09/17/2014
Last updated
09/17/2014
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