Organization
MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION INC
Active
Other names
Mass General Physicians Organization Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MARCELA G DEL CARMEN (PRESIDENT & CEO)
(617) 487-3519
Entity
Organization
Contact information
Practice address
55 FRUIT ST, BUL 2, BOSTON, MA 02114-2621
(617) 724-0287
(617) 228-4315
Mailing address
PO BOX 9142, CHARLESTOWN, MA 02129-9142
(617) 726-2040
(617) 726-4146
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
—
—
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
—
—
207N00000X
Dermatology Physician
Primary
—
—
207P00000X
Emergency Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207T00000X
Neurological Surgery Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
—
—
208000000X
Pediatrics Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2084N0400X
Neurology Physician
—
—
2084P0800X
Psychiatry Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
208600000X
Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110000037/C
—
MA
01
—
687920
TUFTS HEALTH PLAN
MA
01
—
CA6247
RAILROAD MEDICARE
MA
01
—
M10002
BLUE CROSS BLUE SHIELD MA
MA
Enumeration date
01/04/2006
Last updated
03/25/2024
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