Provider Demographics
NPI:1942337126
Name:MASSACHUSETTS GENERAL HOSPITAL
Entity Type:Organization
Organization Name:MASSACHUSETTS GENERAL HOSPITAL
Other - Org Name:PARTNERS HEALTH CARE
Other - Org Type:Other Name
Authorized Official - Title/Position:MEDICAL ASSISTANT
Authorized Official - Prefix:MRS
Authorized Official - First Name:CARROLE
Authorized Official - Middle Name:C
Authorized Official - Last Name:CAILLETET
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-726-3907
Mailing Address - Street 1:26 LANTERN LN
Mailing Address - Street 2:
Mailing Address - City:RANDOLPH
Mailing Address - State:MA
Mailing Address - Zip Code:02368-4853
Mailing Address - Country:US
Mailing Address - Phone:781-961-9295
Mailing Address - Fax:
Practice Address - Street 1:26 LANTERN LN
Practice Address - Street 2:
Practice Address - City:RANDOLPH
Practice Address - State:MA
Practice Address - Zip Code:02368-4853
Practice Address - Country:US
Practice Address - Phone:781-961-9295
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital