Provider Demographics
NPI:1467674192
Name:TUFTS NEW ENGLAND MEDICAL CENTER
Entity Type:Organization
Organization Name:TUFTS NEW ENGLAND MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RESIDENT ORTHOPAEDIC SURGERY
Authorized Official - Prefix:DR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:GUST
Authorized Official - Last Name:PASSIAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:917-576-3556
Mailing Address - Street 1:123 GERRY RD
Mailing Address - Street 2:
Mailing Address - City:CHESTNUT HILL
Mailing Address - State:MA
Mailing Address - Zip Code:02467-3185
Mailing Address - Country:US
Mailing Address - Phone:617-327-3783
Mailing Address - Fax:
Practice Address - Street 1:123 GERRY RD
Practice Address - Street 2:
Practice Address - City:CHESTNUT HILL
Practice Address - State:MA
Practice Address - Zip Code:02467-3185
Practice Address - Country:US
Practice Address - Phone:617-327-3783
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA218507282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital