Provider Demographics
NPI:1902851439
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:SOCIAL WORKER
Authorized Official - Prefix:MS
Authorized Official - First Name:JASMINE
Authorized Official - Middle Name:
Authorized Official - Last Name:QAZILBASH
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:617-636-6036
Mailing Address - Street 1:TUFTS-NEMC, BOX# 790, 750 WASHINGTON STREET
Mailing Address - Street 2:DEPARTMENT OF SOCIAL WORK SERVICES
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02111
Mailing Address - Country:US
Mailing Address - Phone:617-636-6036
Mailing Address - Fax:617-636-7719
Practice Address - Street 1:TUFTS-NEMC, BOX# 790, 750 WASHINGTON STREET
Practice Address - Street 2:DEPARTMENT OF SOCIAL WORK SERVICES
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02111
Practice Address - Country:US
Practice Address - Phone:617-636-6036
Practice Address - Fax:617-636-7719
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA110238282NC2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC2000XHospitalsGeneral Acute Care HospitalChildren