| Boston Food Allergy Center, Steward Healthcare Network | |
|
65 Harrison Ave Suite 201 Boston MA 02111-1924 | |
| (617) 636-8858 | |
| (617) 636-8826 |
| Full Name | Boston Food Allergy Center, Steward Healthcare Network |
|---|---|
| Speciality | Allergy & Immunology |
| Location | 65 Harrison Ave, Boston, Massachusetts |
| Authorized Official Name and Position | Shaun White (CREDENTIALING MANAGER) |
| Authorized Official Contact | 5022449859 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Boston Food Allergy Center, Steward Healthcare Network 1 Nassau St Unit 1906 Boston MA 02111-1542 Ph: (617) 636-8858 | Boston Food Allergy Center, Steward Healthcare Network 65 Harrison Ave Suite 201 Boston MA 02111-1924 Ph: (617) 636-8858 |
| NPI Number | 1023561966 |
|---|---|
| Provider Enumeration Date | 07/27/2016 |
| Last Update Date | 07/27/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023561966 | NPI | - | NPPES |
| 110109748A | Medicaid | MA | |
| 110085164A - INDIV | Medicaid | MA | |
| 230907 | Other | MA | PROVIDER LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 230907 (Massachusetts) | Secondary |
| 207K00000X | Allergy & Immunology | 230907 (Massachusetts) | Primary |
Rong J Guan, Md Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 30 Kneeland St Fl 5, Boston, MA 02111 Phone: 617-290-9881 Fax: 617-350-6555 | |
Robert H. Wu. Md, Pc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 65 Harrison Ave Ste 308, Boston, MA 02111 Phone: 617-338-9889 | |
Boston Health Care For The Homeless Program, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 780 Albany St, Boston, MA 02118 Phone: 857-654-1000 Fax: 857-654-1100 | |
Pratt Medical Group, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 800 Washington St, Box 1013, Boston, MA 02111 Phone: 617-636-5000 | |
Pjtrains Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14 Newbury St Ste 4, Boston, MA 02116 Phone: 857-205-2759 | |
Mhg Physician Services - Michigan Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 Harrison Ave, Boston, MA 02118 Phone: 855-340-4663 |