Massachusetts General Hospital Oral & Maxillofacial Surgery
LBN: Massachusetts General Hospital Oral & Maxillofacial Surgery
Massachusetts General Hospital Oral & Maxillofacial Surgery is an health care organization with primary practice located at 55 Fruit St Wang Ambulatory Building Suite 230, Boston MA 02114-2621. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Oral and Maxillofacial Surgery, Hospitals / General Acute Care Hospital. Hospitals / General Acute Care Hospital is the primary health care specialty.
Massachusetts General Hospital Oral & Maxillofacial Surgery can be contacted via phone (617) 726-8222, or through Kaban, Leonard Bruce via phone (617) 726-2740.
Contact Information
Primary practice address
55 Fruit St Wang Ambulatory Building Suite 230
Boston MA 02114-2621
Phone: (617) 726-8222
Fax:
Website:
Authorized official contact:
Name: Kaban, Leonard Bruce Doctor of Medicine (MD)
Phone: (617) 726-2740
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Oral and Maxillofacial Surgery | 261QS0112X | ||
| Hospitals / General Acute Care Hospital | 282N00000X | P-36801 | Massachusetts |
Profile Details
| NPI number | 1144509209 |
|---|---|
| LBN Legal business name | Massachusetts General Hospital Oral & Maxillofacial Surgery |
| DBA Doing business as | |
| Authorized official | Kaban, Leonard Bruce Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 8th, 2011 |
| Last updated | Aug 8th, 2011 - about 13 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144509209 | NPPES |
| Massachusetts | MEDICAID | 110008955/B |
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