Organization
HARVARD MEDICAL FACULTY PHYSICIANS
Active
Other names
Cardiac Surgery HMFP at BIDMC
Organization subpart
No
Provider details
NPI number
Authorized official
ROSS J MARKELLO (CFO)
(617) 632-9720
Entity
Organization
Contact information
Practice address
330 BROOKLINE AVE, LMOB, BOSTON, MA 02215-5400
(617) 632-8383
Mailing address
330 BROOKLINE AVE, MASCO 3, BOSTON, MA 02215-5400
(617) 632-8383
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
—
—
208600000X
Surgery Physician
—
—
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
05/30/2007
Last updated
09/11/2025
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