Provider Demographics
NPI:1669666541
Name:MASS GENERAL PHYSICIANS ORGANIZATION, INC
Entity Type:Organization
Organization Name:MASS GENERAL PHYSICIANS ORGANIZATION, INC
Other - Org Name:RADIATION ONCOLOGY AT EXETER HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT & COO
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:GINSBURG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-724-7101
Mailing Address - Street 1:PO BOX 9142
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02114-0041
Mailing Address - Country:US
Mailing Address - Phone:617-724-0287
Mailing Address - Fax:617-228-4315
Practice Address - Street 1:5 ALUMNI DR
Practice Address - Street 2:
Practice Address - City:EXETER
Practice Address - State:NH
Practice Address - Zip Code:03833-2128
Practice Address - Country:US
Practice Address - Phone:603-580-7337
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MASS GENERAL PHYSICIANS ORGANIZATION, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-09-04
Last Update Date:2007-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation OncologyGroup - Single Specialty