Provider Demographics
NPI:1811196173
Name:BENSON-HENRY INSTITUTE
Entity Type:Organization
Organization Name:BENSON-HENRY INSTITUTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:
Authorized Official - Last Name:FRICCHIONE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-726-5758
Mailing Address - Street 1:824 BOYLSTON ST
Mailing Address - Street 2:
Mailing Address - City:CHESTNUT HILL
Mailing Address - State:MA
Mailing Address - Zip Code:02467-2508
Mailing Address - Country:US
Mailing Address - Phone:617-732-9130
Mailing Address - Fax:617-732-9111
Practice Address - Street 1:824 BOYLSTON ST
Practice Address - Street 2:
Practice Address - City:CHESTNUT HILL
Practice Address - State:MA
Practice Address - Zip Code:02467-2508
Practice Address - Country:US
Practice Address - Phone:617-732-9130
Practice Address - Fax:617-732-9111
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BENSON-HENRY INSTITUTE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-07-16
Last Update Date:2007-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2542261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center