Basic Information
| Provider Information | |||||||||
| NPI: | 1982001616 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | BRIGHAM AND WOMEN'S HOSPITAL | ||||||||
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| Mailing Information | |||||||||
| Address1: | 75 FRANCIS STREET | ||||||||
| Address2: | BWH DEPARTMENT OF OBSTETRICS AND GYNECOLOGY | ||||||||
| City: | BOSTON | ||||||||
| State: | MA | ||||||||
| PostalCode: | 02115 | ||||||||
| CountryCode: | US | ||||||||
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| Address1: | 75 FRANCIS ST | ||||||||
| Address2: | BWH DEPARTMENT OF OBSTETRICS AND GYNECOLOGY | ||||||||
| City: | BOSTON | ||||||||
| State: | MA | ||||||||
| PostalCode: | 021156110 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6177325500 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 11/24/2014 | ||||||||
| LastUpdateDate: | 11/24/2014 | ||||||||
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| AuthorizedOfficialLastName: | NUNEZ | ||||||||
| AuthorizedOfficialFirstName: | YARA | ||||||||
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| AuthorizedOfficialTitleorPosition: | OB/GYN PROGRAM COORDINATOR | ||||||||
| AuthorizedOfficialTelephone: | 6177327801 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 282N00000X | 248822 | MA | Y | Hospitals | General Acute Care Hospital |
No ID Information.