Organization
CARITAS ST. ELIZABETH MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERNIE FUSARO (DIRECTOR)
(617) 789-2204
Entity
Organization
Contact information
Practice address
736 CAMBRIDGE ST, BOSTON, MA 02135-2907
(617) 789-3000
Mailing address
736 CAMBRIDGE ST, BOSTON, MA 02135-2907
(617) 789-3000
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1001884
—
MA
Enumeration date
03/06/2007
Last updated
07/07/2009
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