Organization Name:  BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION INC


Practice Location:
75 FRANCIS ST  BOSTON, MA 02115 US
Tel: 617-732-5500  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

Primary	Code	Category/Description	State	License Number
N	207K00000X	Physicians Allergy & Immunology
N	207RA0000X	Physicians Internal Medicine
N	207RC0000X	Physicians Internal Medicine
N	207RE0101X	Physicians Internal Medicine
N	207RG0100X	Physicians Internal Medicine
N	207RG0300X	Physicians Internal Medicine
N	207RH0000X	Physicians Internal Medicine
N	207RH0003X	Physicians Internal Medicine
N	207RI0008X	Physicians Internal Medicine
N	207RI0200X	Physicians Internal Medicine
N	207RN0300X	Physicians Internal Medicine
N	207RX0202X	Physicians Internal Medicine
N	208D00000X	Physicians General Practice
N	208M00000X	Physicians Hospitalist
Y	207R00000X	Physicians Internal Medicine

Other Provider Identifiers:

Issuer	Number	State	Type
BCBS PRIMARY CARE GRP #	M17946	MA	01
	9711571	MA	05

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin