Healthcare Provider Details

I. General information

NPI: 1053350306
Provider Name (Legal Business Name): TUFTS MEDICAL CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/05/2006
Last Update Date: 09/14/2020
Certification Date: 09/14/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

750 WASHINGTON ST BOX 451
BOSTON MA
02111-1526
US

IV. Provider business mailing address

750 WASHINGTON ST BOX 451
BOSTON MA
02111-1526
US

V. Phone/Fax

Practice location:
  • Phone: 617-636-5442
  • Fax:
Mailing address:
  • Phone: 617-636-5442
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code273R00000X
TaxonomyPsychiatric Hospital Unit
License Number2299
License Number StateMA

VIII. Authorized Official

Name: MR. MICHAEL T BURKE
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 617-636-5442