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Contact Information

STEWARD ST ELIZABETHS MEDICAL CENTER OF BOSTON INC
77 WARREN ST
PHCY DEPT
BRIGHTON, MA02135-3601
 Phone: 617-562-5304
 Fax: 617-562-5296
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mail Order Pharmacy

3336M0002X 58 Medical Supply Company with Pharmacist
 

Managed Care Organization Pharmacy

3336M0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for STEWARD ST ELIZABETHS MEDICAL CENTER OF BOSTON INC

NPI Number 1053626283
LBN Legal business name STEWARD ST ELIZABETHS MEDICAL CENTER OF BOSTON INC
Authorized official JAMES GERMANO - (PHARMACY DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 08/12/2010
Last updated 09/19/2025 - About 9 months ago
Identifiers
MA License # MA0058873
MA Medicaid 110087064C
Other 2128070 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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