Organization
BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION INC
Active
Other names
Dept of Faulkner Pathology
Organization subpart
No
Provider details
NPI number
Authorized official
KIM CLIFFORD (MANAGER, PAYER RELATIONS)
(617) 713-2242
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
(617) 713-2283
Taxonomy
Speciality
Code
Description
License number
State
207ZC0006X
Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
696752
RR MEDICARE
MA
05
—
9713140
—
MA
01
—
M18375
BCBS OF MA
MA
Enumeration date
02/26/2010
Last updated
04/07/2011
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