Healthcare Provider Details

I. General information

NPI: 1942118161
Provider Name (Legal Business Name): MASSACHUSETTS GENERAL BRIGHAM
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2026
Last Update Date: 08/29/2026
Certification Date: 08/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

52 FRUIT ST
BOSTON MA
02114-2620
US

IV. Provider business mailing address

52 FRUIT ST
BOSTON MA
02114-2620
US

V. Phone/Fax

Practice location:
  • Phone: 617-726-9244
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835X0200X
TaxonomyOncology Pharmacist
License Number
License Number State

VIII. Authorized Official

Name: ANDREW GUU
Title or Position: PHARMACIST
Credential: PHARMD
Phone: 973-723-5079