Organization
CHILDREN'S HOSPITAL BOSTON
Active
Organization
CHILDREN'S HOSPITAL BOSTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTIE MARTIN (ADMINIST COORD)
(617) 355-6936
Entity
Organization
Contact information
Practice address
300 LONGWOOD AVE, DEPARTMENT OF RADIOLOGY, BOSTON, MA 02115-5724
(617) 355-6936
(617) 730-0541
Mailing address
300 LONGWOOD AVE, DEPARTMENT OF RADIOLOGY, BOSTON, MA 02115-5724
(617) 355-6936
(617) 730-0541
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
152366
MA
282NC0060X
Critical Access Hospital
Primary
152366
MA
282NC2000X
Children's Hospital
152366
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3207951
—
MA
Enumeration date
01/09/2007
Last updated
09/11/2025
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