Organization
MASSACHUSETTS GENERAL HOSPITAL PHYSICIANS ORGANIZATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDRA KIMBALL (MEDICAL DIRECTOR)
(617) 726-2000
Entity
Organization
Contact information
Practice address
249 BEVERLY RD, CHESTNUT HILL, MA 02467-3158
(617) 327-2903
Mailing address
249 BEVERLY RD, CHESTNUT HILL, MA 02467-3158
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary
204391
MA
282NC2000X
Children's Hospital
204391
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3207391
—
MA
Enumeration date
08/22/2015
Last updated
08/22/2015
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