| NPI | 1871523753 |
|---|---|
| Other Name | DEPARTMENT OF NEUROSURGERY, CHILDREN'S HOSPITAL BOSTON |
| Entity Type | Organization |
| Authorized Contact | KATHLEEN M HICKEY Provider Enrollment Manager 617-355-4956 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2023-05-08 |