Organization
CHA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELINDA BURRI (DIRECTOR OF OPERATIONS)
(617) 655-3728
Entity
Organization
Contact information
Practice address
119 WINDSOR ST, CAMBRIDGE, MA 02139-3647
(617) 665-3990
Mailing address
119 WINDSOR ST, CAMBRIDGE, MA 02139-3647
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DL11328
MASSACHUSETTS
MA
Enumeration date
10/14/2011
Last updated
10/14/2011
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