Provider Demographics
NPI:1851333686
Name:DANA-FARBER CANCER INSTITUTE, INC.
Entity Type:Organization
Organization Name:DANA-FARBER CANCER INSTITUTE, INC.
Other - Org Name:DANA-FARBER CANCER INSTITUTE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SR. DIRECTOR OF PFS
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:DEMBINSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-632-3935
Mailing Address - Street 1:PO BOX 414744
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02241-4744
Mailing Address - Country:US
Mailing Address - Phone:617-632-3000
Mailing Address - Fax:
Practice Address - Street 1:450 BROOKLINE AVE
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02215-5418
Practice Address - Country:US
Practice Address - Phone:617-632-3000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-13
Last Update Date:2022-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1202383Medicaid
MD1002481OtherOUTPATIENT
220162Medicare PIN