Organization
MASS GENERAL BRIGHAM MEDICAL GROUP NORTHERN MASSACHUSETTS INC
Active
Other names
MGB Pathology - PMA Lab
Organization subpart
No
Provider details
NPI number
Authorized official
JOANNA HAZELL (DIRECTOR, RCO PROVIDER ENROLLMENT)
(781) 254-4854
Entity
Organization
Contact information
Practice address
1 PARK WAY, 3RD FL, HAVERHILL, MA 01830-6220
(978) 521-3200
Mailing address
399 REVOLUTION DR STE 580, SOMERVILLE, MA 02145-1572
(781) 254-4865
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
03/11/2026
Last updated
03/27/2026
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