Organization
HARVARD UNIVERSITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANN BACKUS (PROGRAM CO-ORDINATOR)
(603) 361-2141
Entity
Organization
Contact information
Practice address
677 HUNTINGTON AVE, BOSTON, MA 02115-6028
(603) 361-2141
Mailing address
1575 TREMONT ST, THE LONGWOOD APT. 701, BOSTON, MA 02120-1677
(857) 352-7845
Taxonomy
Speciality
Code
Description
License number
State
261QX0100X
Occupational Medicine Clinic/Center
Primary
265320
MA
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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