Organization
BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION INC
Active
Other names
dba Dept of Neurosurgery
Organization subpart
No
Provider details
NPI number
Authorized official
JOANNA HAZELL (DIRECTOR, PE)
(781) 254-4854
Entity
Organization
Contact information
Practice address
75 FRANCIS ST, BOSTON, MA 02115-6110
(617) 732-5500
Mailing address
399 REVOLUTION DR, SOMERVILLE, MA 02145-1484
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9702644
—
MA
01
—
M17626
BCBS NEUROSURGERY GRP #
MA
Enumeration date
07/17/2006
Last updated
06/17/2025
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