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Organization
CHMC SURGICAL FOUNDATION INC
Active
Organization
CHMC SURGICAL FOUNDATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN J FISHMAN MD (CHIEF OF SURGERY)
(617) 355-6000
Entity
Organization
Contact information
Practice address
300 LONGWOOD AVE, FEGAN 3, BOSTON, MA 02115-5724
(617) 355-8326
(617) 730-0475
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-8326
(617) 730-0475
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
2086S0120X
Pediatric Surgery Physician
Primary
—
NULL
2086S0120X
Pediatric Surgery Physician
Primary
—
—
363LP0200X
Pediatric Nurse Practitioner
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42767602
—
ME
05
—
9725059
—
MA
Enumeration date
11/13/2006
Last updated
10/16/2026
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