Provider Demographics
NPI:1922551969
Name:TUFTS MEDICAL CENTER
Entity Type:Organization
Organization Name:TUFTS MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GME HOUSESTAFF COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:KRISTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:SWEENEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-636-1619
Mailing Address - Street 1:28 WESTLAND AVE APT 15
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02115-3916
Mailing Address - Country:US
Mailing Address - Phone:415-423-4720
Mailing Address - Fax:
Practice Address - Street 1:800 WASHINGTON STREET, BOX 836
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02111
Practice Address - Country:US
Practice Address - Phone:617-636-1019
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-26
Last Update Date:2016-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA267043282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital