Provider Demographics
NPI:1245486695
Name:TUFTS MEDICAL CENTER
Entity type:Organization
Organization Name:TUFTS MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PGY1
Authorized Official - Prefix:DR
Authorized Official - First Name:SAMARA
Authorized Official - Middle Name:M
Authorized Official - Last Name:AHMED
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:703-314-9995
Mailing Address - Street 1:160 PLEASANT ST
Mailing Address - Street 2:APT 815
Mailing Address - City:MALDEN
Mailing Address - State:MA
Mailing Address - Zip Code:02148-4832
Mailing Address - Country:US
Mailing Address - Phone:703-314-9995
Mailing Address - Fax:
Practice Address - Street 1:160 PLEASANT ST
Practice Address - Street 2:APT 815
Practice Address - City:MALDEN
Practice Address - State:MA
Practice Address - Zip Code:02148-4832
Practice Address - Country:US
Practice Address - Phone:703-314-9995
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-15
Last Update Date:2020-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA236518273R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273R00000XHospital UnitsPsychiatric Unit