Organization
BOSTON CHILDRENS HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD MANDELL M.D. (CEO/PRESIDENT)
(617) 355-6000
Entity
Organization
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
Mailing address
65 MILLER AVE, MILTON, MA 02186-4756
(617) 698-9787
Taxonomy
Speciality
Code
Description
License number
State
281PC2000X
Children's Chronic Disease Hospital
Primary
—
—
Other
Enumeration date
12/07/2016
Last updated
12/07/2016
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