Mass General Waltham
NPI #1710070313 in Waltham, Massachusetts
Provider Information
- NPI Number
- 1710070313
- Entity Type
- Organization
- Organization Name
- Mass General Waltham
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- THE GENERAL HOSPITAL CORPORATION
- Primary Specialty
- Clinic/Center - Health Service
- Enumeration Date
- Oct 2, 2006
- Last Updated
- Aug 31, 2022
Practice Location
- Address
- 52 SECOND AVE FL 4
- City
- Waltham
- State
- Massachusetts
- ZIP Code
- 02451-1127
- Phone
- (781) 487-4390
Authorized Official
- Name
- SALLY MASON BOEMER
- Title
- EVP OF ADMINISTRATION & FINANCE
- Phone
- (617) 724-4537
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Health Service — Health Service |
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