Healthcare Provider Details

I. General information

NPI: 1508026576
Provider Name (Legal Business Name): BRIDGET M HRON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BRIDGET M CANAVAN MD

II. Dates (important events)

Enumeration Date: 06/13/2008
Last Update Date: 07/21/2025
Certification Date: 07/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 LONGWOOD AVE
BOSTON MA
02115-5724
US

IV. Provider business mailing address

300 LONGWOOD AVE
BOSTON MA
02115-5724
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2080P1004X
TaxonomyPhysician Nutrition Specialist (Pediatrics)
License Number3160454
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code2080P0206X
TaxonomyPediatric Gastroenterology Physician
License Number246495
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: