Organization
MASSACHUSETTS GENERAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANE EVENS OTR/L, CLT (CLINICAL DIRECTOR, OT)
(617) 724-0147
Entity
Organization
Contact information
Practice address
256 WEST SIXTH STREET APT 2, SOUTH BOSTON, MA 02127
(203) 218-7062
Mailing address
256 WEST SIXTH STREET APT 2, SOUTH BOSTON, MA 02127
(203) 218-7062
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
9704
MA
Other
Enumeration date
07/18/2012
Last updated
07/18/2012
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