Organization
BOSTON MEDICAL CENTER CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY HOLLENBERG (PRESIDENT)
(617) 638-6903
Entity
Organization
Contact information
Practice address
41 TEED DR, RANDOLPH, MA 02368-4201
(781) 805-8220
Mailing address
41 TEED DR, RANDOLPH, MA 02368-4201
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110092155K
—
MA
Enumeration date
05/15/2017
Last updated
10/10/2025
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