Organization
BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION INC
Active
Other names
dba Dept of Faulkner Radiology
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM C JOHNSTON (COO)
(617) 582-1200
Entity
Organization
Contact information
Practice address
1153 CENTRE ST, JAMAICA PLAIN, MA 02130-3446
(617) 983-7272
Mailing address
111 CYPRESS ST, BROOKLINE, MA 02445-6002
(617) 582-1200
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9725580
—
MA
Enumeration date
12/21/2005
Last updated
04/11/2011
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