Healthcare Provider Details

I. General information

NPI: 1649664285
Provider Name (Legal Business Name): FRANCESCA ALVAREZ CALDERON M.D., PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/21/2015
Last Update Date: 05/26/2021
Certification Date: 04/25/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 LONGWOOD AVE HUNNEWELL BUILDING PAVILION 129, HOUSESTAFF LOUNGE
BOSTON MA
02115-5724
US

IV. Provider business mailing address

300 LONGWOOD AVE HUNNEWELL BUILDING PAVILION 129, HOUSESTAFF LOUNGE
BOSTON MA
02115-5724
US

V. Phone/Fax

Practice location:
  • Phone: 617-355-6000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number274574
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code2080P0207X
TaxonomyPediatric Hematology & Oncology Physician
License Number274574
License Number StateMA
# 3
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: