FACULTY PRACTICE FOUNDATION EVANS MEDICAL FOUNDATION NPI 1326179532

NPI Information

FACULTY PRACTICE FOUNDATION , EVANS MEDICAL FOUNDATION is an ambulatory surgical clinic center in Boston, MA. FACULTY PRACTICE FOUNDATION , EVANS MEDICAL FOUNDATION NPI is 1326179532. The provider is registered as an organization entity type.
The provider Is Doing Business As The Endoscopy Center Of Brookline.

The provider's business location address is:

930 COMMONWEALTH AVE
BOSTON, MA
ZIP 02215-274
Phone: (617) 414-6600
Fax: (617) 414-6601

The provider's authorized official is Annmarie Cloonan .
The authorized official title is Director and has the following contact phone number (617) 638-7231.

The enumeration date for this NPI number is 3/8/2007 and was last updated on 6/15/2011.

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:

Other Identifiers

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

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