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MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION INC NPI 1801874573


NPI Information

NPI: 1801874573
Provider Name: MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION INC

Other Name: MASS GENERAL PHYSICIANS ORGANIZATION INC

Classification: Dermatology - 207N00000X
Entity Type: Organization

CLIA Number: 22D2046640

Address:
55 FRUIT ST
BUL 2
BOSTON, MA
ZIP 02114
Phone: (617) 724-0287
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MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION INC is a dermatology in Boston, MA. The provider is a dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION INC NPI is 1801874573. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Mass General Physicians Organization Inc.

The provider's business location address is:

55 FRUIT ST
BUL 2
BOSTON, MA
ZIP 02114-621
Phone: (617) 724-0287
Fax: (617) 228-4315

The provider's authorized official is Marcela G Del Carmen .
The authorized official title is President & Ceo and has the following contact phone number (617) 487-3519.

The CLIA number assigned to this NPI record is 22D2046640 - other - clinical research with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/4/2006 and was last updated on 3/25/2024.


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
1204E00000XOral & Maxillofacial SurgeryNo
2207LC0200XAnesthesiologyCritical Care MedicineNo
3207N00000XDermatologyYes
4207P00000XEmergency MedicineNo
5207R00000XInternal MedicineNo
6207T00000XNeurological SurgeryNo
7207V00000XObstetrics & GynecologyNo
8207X00000XOrthopaedic SurgeryNo
9207ZP0102XPathologyAnatomic Pathology & Clinical PathologyNo
10208000000XPediatricsNo
11208100000XPhysical Medicine & RehabilitationNo
122084N0400XPsychiatry & NeurologyNeurologyNo
132084P0800XPsychiatry & NeurologyPsychiatryNo
142085R0202XRadiologyDiagnostic RadiologyNo
15208600000XSurgeryNo

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
1110000037/CMEDICAIDMASSACHUSETTS
2687920OTHERMASSACHUSETTSTUFTS HEALTH PLAN
3CA6247OTHERMASSACHUSETTSRAILROAD MEDICARE
4M10002OTHERMASSACHUSETTSBLUE CROSS BLUE SHIELD MA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.