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Organization

MASSACHUSETTS GENERAL HOSPITAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TERRY MILLER (MSO)
(617) 724-7168
Entity
Organization

Contact information

Practice address
1575 CAMBRIDGE ST, CAMBRIDGE, MA 02138-4308
(617) 724-7168
Mailing address
PO BOX 9142, CHARLESTOWN, MA 02129-9142
(617) 724-7168

Taxonomy

Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
267278
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1356398119
NPI
MA
Enumeration date
12/29/2014
Last updated
12/29/2014
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