OrganizationActive
Chmc Otolaryngologic Foundation, Inc
NPI 1124118229 · Otolaryngology Physician · Boston, MA
Provider details
- NPI number
- 1124118229
- Entity type
- Organization
- Primary specialty
- Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kathleen Hickey, Provider Enrollment Manager(617) 355-4956
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Speech-Language Pathologist235Z00000X
Speech, Language and Hearing Service Providers
- Surgical Physician Assistant363AS0400X
Physician Assistants & Advanced Practice Nursing Providers
- Clinical Psychologist103TC0700X
Behavioral Health & Social Service Providers
- Pediatric Otolaryngology Physician207YP0228X
Allopathic & Osteopathic Physicians
- Audiologist231H00000X
Speech, Language and Hearing Service Providers
Practice location
300 Longwood Ave
Boston, MA 02115-5724
Phone: (617) 355-6460
Fax: (617) 730-0611
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 4162
Woburn, MA 01888-4162
Registry dates
- Enumerated
- 2006-10-13
- Last updated
- 2025-12-11
- Certified
- 2025-12-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.