Organization
CHILDRENS HOSPITAL BOSTON
Active
Other names
Boston Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
JESUS ROGELIO GARCIA JACQUES M.D. (RESIDENT)
(617) 640-7670
Entity
Organization
Contact information
Practice address
300 LONGWOOD AVENUE, BOSTON, MA 02115
(617) 355-6000
Mailing address
20 CHAPEL ST, B501, BROOKLINE, MA 02446-7458
Taxonomy
Speciality
Code
Description
License number
State
282NC2000X
Children's Hospital
Primary
232667
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
232667
MA BOARD OF REGISTRATION IN MEDICINE
MA
Enumeration date
05/29/2008
Last updated
05/29/2008
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