Organization
BRIGHAM AND WOMEN'S HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONNA M DELLO IACONO NP, PHD (NURSE PRACTITIONER)
(617) 732-5179
Entity
Organization
Contact information
Practice address
75 FRANCIS ST, WEINER CENTER, BOSTON, MA 02115-6110
(617) 732-5179
Mailing address
42 WEYFAIR PATH, SOUTH WEYMOUTH, MA 02190-2638
(781) 331-7783
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
NP151651
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DD71
PROVIDER CODE
MA
Enumeration date
08/15/2012
Last updated
08/15/2012
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