Basic Information
| Provider Information | |||||||||
| NPI: | 1831301720 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | BRIGHAM AND WOMEN'S HOSPITAL | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6 FLORIAN WAY | ||||||||
| Address2: | |||||||||
| City: | ROSLINDALE | ||||||||
| State: | MA | ||||||||
| PostalCode: | 021312108 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6173255699 | ||||||||
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| Practice Location | |||||||||
| Address1: | 45 FRANCIS ST | ||||||||
| Address2: | |||||||||
| City: | BOSTON | ||||||||
| State: | MA | ||||||||
| PostalCode: | 021156105 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6177325500 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/04/2007 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | BURKE | ||||||||
| AuthorizedOfficialFirstName: | M ARTHA | ||||||||
| AuthorizedOfficialMiddleName: | BYRON | ||||||||
| AuthorizedOfficialTitleorPosition: | DIRECTOR OF SOCIAL WORK | ||||||||
| AuthorizedOfficialTelephone: | 6177325500 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MS. | ||||||||
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| AuthorizedOfficialCredential: | MSW, LICSW | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 282N00000X | 1023852 | MA | Y | Hospitals | General Acute Care Hospital |
No ID Information.