Organization
BOSTON CHILDRENS HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN BACI MBA, CPM (PATHOLOGY DEPARTMENT DIRECTOR)
(617) 355-7431
Entity
Organization
Contact information
Practice address
300 LONGWOOD AVE, PATHOLOGY BADER 101, BOSTON, MA 02115-5724
(617) 355-7431
Mailing address
300 LONGWOOD AVE, PATHOLOGY BADER 101, BOSTON, MA 02115-5724
(617) 355-7431
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
56280
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1770592941
HOSPITAL
MA
Enumeration date
07/31/2014
Last updated
07/31/2014
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