OrganizationActive
Boston Food Allergy Center, Steward Healthcare Network
NPI 1023561966 · Allergy & Immunology Physician · Boston, MA
Provider details
- NPI number
- 1023561966
- Entity type
- Organization
- Primary specialty
- Allergy & Immunology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Shaun White, Credentialing Manager(502) 244-9859
- License
- 230907 (MA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
65 Harrison Ave
Suite 201
Boston, MA 02111-1924
Phone: (617) 636-8858
Fax: (617) 636-8826
Approximate (ZIP-level) locationGet directions
Mailing address
1 Nassau St
Boston, MA 02111-1542
Registry dates
- Enumerated
- 2016-07-27
- Last updated
- 2016-07-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.