Organization
BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION INC
Active
Other names
dba Dept of Primary Care
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
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
207RH0000X
Hematology (Internal Medicine) Physician
—
—
207RH0003X
Hematology & Oncology Physician
—
—
207RI0008X
Hepatology Physician
—
—
207RI0200X
Infectious Disease Physician
—
—
207RN0300X
Nephrology Physician
—
—
207RX0202X
Medical Oncology Physician
—
—
208D00000X
General Practice Physician
—
—
208M00000X
Hospitalist Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9711571
—
MA
01
—
M17946
BCBS PRIMARY CARE GRP #
MA
Enumeration date
07/07/2006
Last updated
04/07/2011
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