Organization
MASSACHUSETTS INSTITUTE OF TECHNOLOGY
Active
Other names
MIT Health, MIT Medical
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN SCHUETZ (EXECUTIVE DIRECTOR)
(617) 258-6609
Entity
Organization
Contact information
Practice address
25 CARLETON ST, CAMBRIDGE, MA 02142-1323
(617) 253-4481
(617) 253-6558
Mailing address
77 MASSACHUSETTS AVE # E23-431, CAMBRIDGE, MA 02139-4301
(617) 258-6609
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M16471
BCBS
MA
01
—
Y61353
BCBS PHYSICAL THERAPY
MA
Enumeration date
12/05/2006
Last updated
11/17/2023
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