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BOSTON CHILDRENS HEART FOUNDATION INC NPI 1982680922


NPI Information

NPI: 1982680922
Provider Name: BOSTON CHILDRENS HEART FOUNDATION INC
Classification: Pediatrics - 2080P0202X
Entity Type: Organization

Specialization: Pediatric Cardiology

CLIA Number: 22D0001844

Address:
300 LONGWOOD AVE
BOSTON, MA
ZIP 02115
Phone: (617) 355-6793
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BOSTON CHILDRENS HEART FOUNDATION INC is a pediatric cardiology pediatrics in Boston, MA. The provider is a pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. BOSTON CHILDRENS HEART FOUNDATION INC NPI is 1982680922. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

300 LONGWOOD AVE
BOSTON, MA
ZIP 02115-724
Phone: (617) 355-6793

The provider's authorized official is Tal Geva .
The authorized official title is Cardiologist-in-chief and has the following contact phone number (617) 355-7655.

The CLIA number assigned to this NPI record is 22D0001844 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 12/21/2005 and was last updated on 3/13/2023.


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
1103T00000XPsychologistNo
2103TC0700XPsychologistClinicalNo
3103TC2200XPsychologistClinical Child & AdolescentNo
4207RC0000XInternal MedicineCardiovascular DiseaseNo
5207RC0001XInternal MedicineClinical Cardiac ElectrophysiologyNo
62080P0203XPediatricsPediatric Critical Care MedicineNo
72085P0229XRadiologyPediatric RadiologyNo
8208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)No
9363L00000XNurse PractitionerNo
10363LP0200XNurse PractitionerPediatricsNo
112080P0202XPediatricsPediatric CardiologyMASSACHUSETTSYes

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
19728902MEDICAIDMASSACHUSETTS

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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