Basic Information
| Provider Information | |||||||||
| NPI: | 1831350891 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | BOSTON MEDICAL CENTER | ||||||||
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| Mailing Information | |||||||||
| Address1: | 519 HARRISON AVE | ||||||||
| Address2: | APT D218 | ||||||||
| City: | BOSTON | ||||||||
| State: | MA | ||||||||
| PostalCode: | 021184427 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6174233676 | ||||||||
| FaxNumber: | 6617528874 | ||||||||
| Practice Location | |||||||||
| Address1: | 80 E CONCORD STREET | ||||||||
| Address2: | EVANS 124 BMC INTERNAL MEDICINE EDUCATION OFFICE | ||||||||
| City: | BOSTON | ||||||||
| State: | MA | ||||||||
| PostalCode: | 021182307 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6176386500 | ||||||||
| FaxNumber: | 6176386501 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/23/2008 | ||||||||
| LastUpdateDate: | 06/23/2008 | ||||||||
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| AuthorizedOfficialLastName: | COLEMAN | ||||||||
| AuthorizedOfficialFirstName: | DAVID | ||||||||
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| AuthorizedOfficialTitleorPosition: | CHAIR OF MEDICINE | ||||||||
| AuthorizedOfficialTelephone: | 6176386500 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 282N00000X | 237500 | MA | Y | Hospitals | General Acute Care Hospital |
No ID Information.