Provider Demographics
NPI:1134262819
Name:MASSACHUSETTS GENERAL HOSPITAL
Entity type:Organization
Organization Name:MASSACHUSETTS GENERAL HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RESEARCH NURSE
Authorized Official - Prefix:MS
Authorized Official - First Name:MARGUERITE
Authorized Official - Middle Name:H
Authorized Official - Last Name:PARKMAN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:617-726-0575
Mailing Address - Street 1:55 FRUIT ST
Mailing Address - Street 2:YAWKEY CENTER-8TH FLOOR
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02114-2621
Mailing Address - Country:US
Mailing Address - Phone:617-726-0575
Mailing Address - Fax:617-724-2840
Practice Address - Street 1:55 FRUIT ST
Practice Address - Street 2:YAWKEY CENTER-8TH FLOOR
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-2621
Practice Address - Country:US
Practice Address - Phone:617-726-0575
Practice Address - Fax:617-724-2840
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA99562282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital