Provider Demographics
NPI:1073550331
Name:BOSTON REHABILITATION MEDICINE ASSOCIATES, INC.
Entity Type:Organization
Organization Name:BOSTON REHABILITATION MEDICINE ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:617-638-7911
Mailing Address - Street 1:732 HARRISON AVE
Mailing Address - Street 2:F5
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02118-2656
Mailing Address - Country:US
Mailing Address - Phone:617-638-7911
Mailing Address - Fax:617-638-7313
Practice Address - Street 1:732 HARRISON AVE
Practice Address - Street 2:F5
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02118-2656
Practice Address - Country:US
Practice Address - Phone:617-638-7911
Practice Address - Fax:617-638-7313
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty