Provider Demographics
NPI:1831531912
Name:BRIGHAM & WOMEN'S HOSPITAL
Entity type:Organization
Organization Name:BRIGHAM & WOMEN'S HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEMATOLOGIST
Authorized Official - Prefix:MS
Authorized Official - First Name:JEAN
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:CONNORS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:617-525-9177
Mailing Address - Street 1:41 AVENUE LOUIS PASTEUR
Mailing Address - Street 2:SUITE.218
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02115-5727
Mailing Address - Country:US
Mailing Address - Phone:617-264-3000
Mailing Address - Fax:617-264-3011
Practice Address - Street 1:41 AVENUE LOUIS PASTEUR
Practice Address - Street 2:SUITE.218
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115-5727
Practice Address - Country:US
Practice Address - Phone:617-264-3000
Practice Address - Fax:617-264-3011
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-18
Last Update Date:2013-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH234514282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital