Provider Demographics
NPI:1356492011
Name:BATTINELLI, ELISABETH M (MD)
Entity Type:Individual
Prefix:
First Name:ELISABETH
Middle Name:M
Last Name:BATTINELLI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 BLACKFAN CIRCLE, KARP 5TH FLOOR
Mailing Address - Street 2:BRIGHAM AND WOMEN'S HOSPITAL
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02115-1124
Mailing Address - Country:US
Mailing Address - Phone:617-355-9090
Mailing Address - Fax:
Practice Address - Street 1:1 BLACKFAN CIRCLE, KARP 5TH FLOOR
Practice Address - Street 2:BRIGHAM AND WOMEN'S HOSPITAL
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115-1124
Practice Address - Country:US
Practice Address - Phone:617-355-9090
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-16
Last Update Date:2014-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA220410207RH0000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0000XAllopathic & Osteopathic PhysiciansInternal MedicineHematology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine