Provider Demographics
NPI:1346433257
Name:DANA-FARBER CANCER INSTITUTE, INC.
Entity Type:Organization
Organization Name:DANA-FARBER CANCER INSTITUTE, INC.
Other - Org Name:BINNEY MEDICAL GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SENIOR DIRECTOR OF PFS
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:DEMBINSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-632-3935
Mailing Address - Street 1:PO BOX 3587
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02241-3587
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:75 FRANCIS ST
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115-6110
Practice Address - Country:US
Practice Address - Phone:617-635-6904
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DANA-FARBER CANCER INSTITUTE, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-08-23
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
207RX0202X
MA1002481284300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes284300000XHospitalsSpecial Hospital
No207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical OncologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAM18040OtherBLUE CROSS BLUE SHIELD
MAM11718Medicare PIN