1851709075 NPI number — BOSTON CHILDRENS HOSPITAL

Table of content: MISS SNEHA BIPIN PATEL (NPI 1033696166)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1851709075 NPI number — BOSTON CHILDRENS HOSPITAL

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BOSTON CHILDRENS HOSPITAL
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1851709075
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/31/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
300 LONGWOOD AVE
Provider Second Line Business Mailing Address:
PATHOLOGY BADER 101
Provider Business Mailing Address City Name:
BOSTON
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
02115-5724
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
617-355-7431
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
300 LONGWOOD AVE
Provider Second Line Business Practice Location Address:
PATHOLOGY BADER 101
Provider Business Practice Location Address City Name:
BOSTON
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02115-5724
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
617-355-7431
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/31/2014

Additional Information

Authorized Official

Authorized Official Last Name:
BACI
Authorized Official First Name:
JOHN
Authorized Official Middle Name:
Authorized Official Title or Position:
PATHOLOGY DEPARTMENT DIRECTOR
Authorized Official Telephone Number:
617-355-7431

Provider Taxonomy Codes

  • Taxonomy code: 282N00000X , with the licence number:  56280 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1770592941 . This is a "HOSPITAL" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".




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