OrganizationActive
Massachusetts General Hospital
NPI 1679825236 · Children's Hospital · Boston, MA
Provider details
- NPI number
- 1679825236
- Entity type
- Organization
- Primary specialty
- Children's HospitalHospitals
- Organization subpart
- No
- Authorized official
- Jaclyn Mcgowan, Pediatric Nurse Practitioner(857) 998-1840
- License
- RN283317 (MA)
Specialties & taxonomies
Hospitals
Practice location
55 Fruit St
Ellison 18 Pediatrics
Boston, MA 02114-2621
Phone: (617) 643-0722
Approximate (ZIP-level) locationGet directions
Mailing address
55 Fruit St
Boston, MA 02114-2621
Registry dates
- Enumerated
- 2012-10-08
- Last updated
- 2012-10-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.