Organization
MASS GENERAL PHYSICIANS ORG-HEMOPHILIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY J PAULY (CHIEF OPERATING OFFICER)
(617) 724-7713
Entity
Organization
Contact information
Practice address
55 FRUIT ST, YAWKEY, SUITE 7, BOSTON, MA 02114-2621
(617) 643-0310
Mailing address
PO BOX 9142, CHARLESTOWN, MA 02129-9142
(617) 643-0310
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
Primary
—
—
208D00000X
General Practice Physician
—
—
Other
Enumeration date
06/09/2014
Last updated
06/09/2014
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