Provider Demographics
NPI:1083053680
Name:RAYTHEON COMPANY
Entity Type:Organization
Organization Name:RAYTHEON COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF MEDICAL OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:STRATFORD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:781-522-3344
Mailing Address - Street 1:870 WINTER ST
Mailing Address - Street 2:GLOBAL HEALTH RESOURCES
Mailing Address - City:WALTHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02451-1449
Mailing Address - Country:US
Mailing Address - Phone:781-522-3350
Mailing Address - Fax:781-522-3324
Practice Address - Street 1:870 WINTER ST
Practice Address - Street 2:GLOBAL HEALTH RESOURCES
Practice Address - City:WALTHAM
Practice Address - State:MA
Practice Address - Zip Code:02451-1449
Practice Address - Country:US
Practice Address - Phone:781-522-3350
Practice Address - Fax:781-522-3324
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-18
Last Update Date:2013-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA141863251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management