| NPI | 1871704833 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET JONES Provider Enrollment Specialist 617-582-1252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2020-08-22 |