Healthcare Provider Details

I. General information

NPI: 1891027033
Provider Name (Legal Business Name): FRANCISCAN HOSPITAL FOR CHILDREN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/12/2010
Last Update Date: 09/28/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 WARREN ST
BRIGHTON MA
02135-3602
US

IV. Provider business mailing address

380 RIVERWAY APT 4
BOSTON MA
02115-6418
US

V. Phone/Fax

Practice location:
  • Phone: 617-254-3800
  • Fax:
Mailing address:
  • Phone: 617-596-7949
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code281PC2000X
TaxonomyChildren's Chronic Disease Hospital
License Number247673
License Number StateMA

VIII. Authorized Official

Name: DR. ALANNA TEATOM BURKE
Title or Position: PEDIATRICIAN
Credential: D.O.
Phone: 617-254-3800