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Organization

BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION INC

Active
Other names
dba Dept of Medicine
Organization subpart
No

Provider details

NPI number
Authorized official
MR. WILLIAM C JOHNSTON (CFO)
(617) 713-2263
Entity
Organization

Contact information

Practice address
75 FRANCIS ST, BOSTON, MA 02115-6110
(617) 732-5500
Mailing address
111 CYPRESS ST, BROOKLINE, MA 02445-6002
(617) 582-1200
(617) 713-2283

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
207RC0000X
Cardiovascular Disease Physician
207RC0001X
Clinical Cardiac Electrophysiology Physician
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
207RG0100X
Gastroenterology Physician
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
207RH0000X
Hematology (Internal Medicine) Physician
207RH0003X
Hematology & Oncology Physician
207RI0011X
Interventional Cardiology Physician
207RI0200X
Infectious Disease Physician
207RN0300X
Nephrology Physician
207RP1001X
Pulmonary Disease Physician
207RS0012X
Sleep Medicine (Internal Medicine) Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9700111
MA
01
M17354
BCBS MEDICINE GRP #
MA
Enumeration date
07/17/2006
Last updated
03/14/2013
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