Provider Demographics
NPI:1881818771
Name:BRIGHAM AND WOMEN'S HOSPITAL
Entity Type:Organization
Organization Name:BRIGHAM AND WOMEN'S HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL FELLOW
Authorized Official - Prefix:DR
Authorized Official - First Name:EMAN
Authorized Official - Middle Name:NASSIM
Authorized Official - Last Name:ALI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:617-525-6550
Mailing Address - Street 1:1 BROOKLINE PL
Mailing Address - Street 2:SUITE 225
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02445-7224
Mailing Address - Country:US
Mailing Address - Phone:627-525-6550
Mailing Address - Fax:617-525-6554
Practice Address - Street 1:1 BROOKLINE PL
Practice Address - Street 2:SUITE 225
Practice Address - City:BROOKLINE
Practice Address - State:MA
Practice Address - Zip Code:02445-7224
Practice Address - Country:US
Practice Address - Phone:627-525-6550
Practice Address - Fax:617-525-6554
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA284300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes284300000XHospitalsSpecial Hospital