Provider Demographics
NPI:1417252255
Name:CHILDREN'S HOSPITAL BOSTON
Entity Type:Organization
Organization Name:CHILDREN'S HOSPITAL BOSTON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO DIRECTOR ADVANCED FETAL CENTRE
Authorized Official - Prefix:DR
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:L
Authorized Official - Last Name:BUCHMILLER
Authorized Official - Suffix:
Authorized Official - Credentials:MD, FACS
Authorized Official - Phone:617-355-8445
Mailing Address - Street 1:RASHI ST. 2/2
Mailing Address - Street 2:
Mailing Address - City:HAIFA
Mailing Address - State:ISRAEL
Mailing Address - Zip Code:33271
Mailing Address - Country:IL
Mailing Address - Phone:0097250-206-3177
Mailing Address - Fax:009724-854-2231
Practice Address - Street 1:RASHI ST. 2/2
Practice Address - Street 2:
Practice Address - City:HAIFA
Practice Address - State:ISRAEL
Practice Address - Zip Code:33271
Practice Address - Country:IL
Practice Address - Phone:0097250-206-3177
Practice Address - Fax:009724-854-2231
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-25
Last Update Date:2011-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
87826281PC2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes281PC2000XHospitalsChronic Disease HospitalChildren