Basic Information
| Provider Information | |||||||||
| NPI: | 1891027033 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | FRANCISCAN HOSPITAL FOR CHILDREN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 380 RIVERWAY APT 4 | ||||||||
| Address2: | |||||||||
| City: | BOSTON | ||||||||
| State: | MA | ||||||||
| PostalCode: | 021156418 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6175967949 | ||||||||
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| Practice Location | |||||||||
| Address1: | 30 WARREN ST | ||||||||
| Address2: | |||||||||
| City: | BRIGHTON | ||||||||
| State: | MA | ||||||||
| PostalCode: | 021353602 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6172543800 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 02/12/2010 | ||||||||
| LastUpdateDate: | 09/28/2011 | ||||||||
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| AuthorizedOfficialLastName: | BURKE | ||||||||
| AuthorizedOfficialFirstName: | ALANNA | ||||||||
| AuthorizedOfficialMiddleName: | TEATOM | ||||||||
| AuthorizedOfficialTitleorPosition: | PEDIATRICIAN | ||||||||
| AuthorizedOfficialTelephone: | 6172543800 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | D.O. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 281PC2000X | 247673 | MA | Y | Hospitals | Chronic Disease Hospital | Children |
No ID Information.