Mass General Waltham
May also be knows as General Hospital Corp
Health Service Clinic/Center in Waltham, MA(View on Map)
Legal Business Name
Mass General Waltham
Also Known As
General Hospital Corp
NPI Number
1710070313
NPI Type
Organization
Enumeration Date
10/02/2006
Specialties
(Taxonomies)Licenses
State
Massachusetts
License Number
MA0049076
Contact
Information
Purpose
Mailing
Location
Address
55 FRUIT ST
52 SECOND AVE FL 4
City
Boston
Waltham
State
MA
MA
Postal Code
02114-2621
02451-1127
Country
US
US
Telephone Number
(781) 487-4390
(781) 487-4390
Authorized Official
Name
Sally Boemer
Title or Position
EVP OF ADMINISTRATION & FINANCE
Telephone Number
(617) 724-4537
Identifiers
Identifier
0447641
Identifier State
MA
Identifier Issuer
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 08/31/2022
Provider Address
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