Provider Demographics
NPI:1063855591
Name:TUFTS MEDICAL CENTER
Entity Type:Organization
Organization Name:TUFTS MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OF DEPARTMENT OF ANESTHESIA
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:SEGAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:617-636-5000
Mailing Address - Street 1:33 BRACKETT ST
Mailing Address - Street 2:#2
Mailing Address - City:BRIGHTON
Mailing Address - State:MA
Mailing Address - Zip Code:02135-2511
Mailing Address - Country:US
Mailing Address - Phone:802-299-1083
Mailing Address - Fax:
Practice Address - Street 1:33 BRACKETT ST
Practice Address - Street 2:#2
Practice Address - City:BRIGHTON
Practice Address - State:MA
Practice Address - Zip Code:02135-2511
Practice Address - Country:US
Practice Address - Phone:802-299-1083
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-15
Last Update Date:2020-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2269438282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital