Healthcare Provider Details

I. General information

NPI: 1417252255
Provider Name (Legal Business Name): CHILDREN'S HOSPITAL BOSTON
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/25/2011
Last Update Date: 01/25/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

RASHI ST. 2/2
HAIFA ISRAEL
33271
IL

IV. Provider business mailing address

RASHI ST. 2/2
HAIFA ISRAEL
33271
IL

V. Phone/Fax

Practice location:
  • Phone: 00972502063177
  • Fax: 0097248542231
Mailing address:
  • Phone: 00972502063177
  • Fax: 0097248542231

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code281PC2000X
TaxonomyChildren's Chronic Disease Hospital
License Number87826
License Number State

VIII. Authorized Official

Name: DR. TERRY L BUCHMILLER
Title or Position: CO DIRECTOR ADVANCED FETAL CENTRE
Credential: MD, FACS
Phone: 617-355-8445