Organization
BRIGHAM AND WOMENS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLLEEN MONAGHAN (MEDICAL DIRECTOR)
(617) 983-7795
Entity
Organization
Contact information
Practice address
1153 CENTRE ST, SUITE 5960, BOSTON, MA 02130-3446
(617) 983-7025
Mailing address
1153 CENTRE ST, SUITE 5960, BOSTON, MA 02130-3446
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
RN2291280
MA
Other
Enumeration date
03/20/2015
Last updated
03/20/2015
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