Provider Demographics
NPI:1831350891
Name:BOSTON MEDICAL CENTER
Entity type:Organization
Organization Name:BOSTON MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHAIR OF MEDICINE
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:COLEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:617-638-6500
Mailing Address - Street 1:519 HARRISON AVE
Mailing Address - Street 2:APT D218
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02118-4427
Mailing Address - Country:US
Mailing Address - Phone:617-423-3676
Mailing Address - Fax:661-752-8874
Practice Address - Street 1:80 E CONCORD STREET
Practice Address - Street 2:EVANS 124 BMC INTERNAL MEDICINE EDUCATION OFFICE
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02118-2307
Practice Address - Country:US
Practice Address - Phone:617-638-6500
Practice Address - Fax:617-638-6501
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-23
Last Update Date:2008-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA237500282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital