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NPI Code Detail

MEDICARE: PRESIDENT & FELLOWS OF HARVARD COLLEGE

MEDICARE: PRESIDENT & FELLOWS OF HARVARD COLLEGE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM1300XMulti-Specialty Clinic/Center4RA2MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1667022OTHERMATUFTS HEALTH CARE OF MASS
2M19105OTHERMABC-BS-MA -PROFESSIONALGRP

General Provider Information

NPI Number : 1952366312
Entity Type Code : Organization
Provider Name (Legal Business Name) : PRESIDENT & FELLOWS OF HARVARD COLLEGE
Provider Business Mailing Address
First Line : 75 MOUNT AUBURN ST
Second Line :
City : CAMBRIDGE
State : MA
Zip : 02138-4960
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 75 MOUNT AUBURN ST
Second Line :
City : CAMBRIDGE
State : MA
Zip : 02138-4960
Country : US
Telephone Number : 617-496-9506
Fax Number :
Authorized Official
Title or Position : DIRECTOR REVENUE CYCLE MANAGEMENT
Name : KATHLEEN M. COLE
Credential :
Telephone Number : 617-496-9506
Provider Enumeration Date : 04/19/2006
Last Update Date : 11/05/2007

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Directions to “PRESIDENT & FELLOWS OF HARVARD COLLEGE ” Practice Location

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