Healthcare Provider Details

I. General information

NPI: 1265578330
Provider Name (Legal Business Name): MASSACHUSETTS GENERAL HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/29/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32 FRUIT ST YAWKEY 6800-6B
BOSTON MA
02114-2620
US

IV. Provider business mailing address

223 FRANKLIN ST
READING MA
01867-1030
US

V. Phone/Fax

Practice location:
  • Phone: 617-726-8705
  • Fax:
Mailing address:
  • Phone: 781-944-7531
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number127815NP
License Number StateMA

VIII. Authorized Official

Name: PAULA G. CURREN
Title or Position: NURSE PRACTITIONER
Credential: RN, MSN, CPNP
Phone: 617-726-8705