Organization
MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOANNA HAZELL (DIRECTOR, PROVIDER ENROLLMENT)
(781) 254-4854
Entity
Organization
Contact information
Practice address
52 SECOND AVE STE 1150, WALTHAM, MA 02451-1129
(781) 487-4082
(781) 487-4003
Mailing address
399 REVOLUTION DR, STE 485, SOMERVILLE, MA 02145-1484
(617) 726-3884
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110000037C
—
MA
Enumeration date
02/13/2015
Last updated
05/04/2026
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