Provider Demographics
NPI:1518195015
Name:BLUE HILLS THERAPEUTICS INC.
Entity type:Organization
Organization Name:BLUE HILLS THERAPEUTICS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:OTTO
Authorized Official - Middle Name:
Authorized Official - Last Name:DUNKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-212-7987
Mailing Address - Street 1:50 BLUE HILL AVE
Mailing Address - Street 2:
Mailing Address - City:ROXBURY
Mailing Address - State:MA
Mailing Address - Zip Code:02119-3321
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:290 ROUTE 130
Practice Address - Street 2:BUILDING 1 UNIT 11-13
Practice Address - City:FORESTDALE
Practice Address - State:MA
Practice Address - Zip Code:02644-4400
Practice Address - Country:US
Practice Address - Phone:888-619-7836
Practice Address - Fax:617-481-8967
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-23
Last Update Date:2019-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health