Organization
ST ELIZABETHS MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN UNTERBORN (PROGRAM DIRECTOR)
(617) 789-3000
Entity
Organization
Contact information
Practice address
1959 COMMONWEALTH AVE, APT 1, BRIGHTON, MA 02135-5924
(617) 930-3225
Mailing address
736 CAMBRIDGE ST, BOSTON, MA 02135-2907
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
232553
MA
Other
Enumeration date
06/04/2008
Last updated
06/04/2008
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