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CHILD HEALTH FOUNDATION OF BOSTON INC. NPI 1619969920


NPI Information

NPI: 1619969920
Provider Name: CHILD HEALTH FOUNDATION OF BOSTON, INC.
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
1 BOSTON MEDICAL CTR PL
DIVISION OF PEDIATRICS, DOWLING 3 SOUTH
BOSTON, MA
ZIP 02118
Phone: (617) 414-4830
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CHILD HEALTH FOUNDATION OF BOSTON, INC. is a pediatrics in Boston, MA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. CHILD HEALTH FOUNDATION OF BOSTON, INC. NPI is 1619969920. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1 BOSTON MEDICAL CTR PL
DIVISION OF PEDIATRICS, DOWLING 3 SOUTH
BOSTON, MA
ZIP 02118-908
Phone: (617) 414-4830
Fax: (617) 414-3803

The provider's authorized official is Elijah Essandoh Paintsil .
The authorized official title is President and has the following contact phone number (617) 414-5180.

The enumeration date for this NPI number is 8/22/2005 and was last updated on 12/20/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080A0000XPediatricsAdolescent MedicineNo
22080N0001XPediatricsNeonatal-Perinatal MedicineNo
32080P0006XPediatricsDevelopmental - Behavioral PediatricsNo
42080P0201XPediatricsPediatric Allergy/ImmunologyNo
52080P0202XPediatricsPediatric CardiologyNo
62080P0204XPediatricsPediatric Emergency MedicineNo
72080P0205XPediatricsPediatric EndocrinologyNo
82080P0206XPediatricsPediatric GastroenterologyNo
92080P0207XPediatricsPediatric Hematology-OncologyNo
102080P0208XPediatricsPediatric Infectious DiseasesNo
112080P0214XPediatricsPediatric PulmonologyNo
12363LP0200XNurse PractitionerPediatricsNo
13208000000XPediatricsYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13074609MEDICAIDNEW HAMPSHIRE
2110067282AMEDICAIDMASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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