Provider Demographics
NPI:1396108643
Name:EMMANUEL COLLEGE
Entity type:Organization
Organization Name:EMMANUEL COLLEGE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DEAN OF STUDENTS
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:ONOFRIETTI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-735-9917
Mailing Address - Street 1:400 THE FENWAY
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02115-5725
Mailing Address - Country:US
Mailing Address - Phone:617-264-7678
Mailing Address - Fax:
Practice Address - Street 1:400 THE FENWAY
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115-5725
Practice Address - Country:US
Practice Address - Phone:617-264-7678
Practice Address - Fax:617-975-9329
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-04
Last Update Date:2016-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1000XAmbulatory Health Care FacilitiesClinic/CenterStudent Health