Provider Demographics
NPI:1023281482
Name:CARITAS SAINT ELIZABETH MEDICAL CENTER
Entity type:Organization
Organization Name:CARITAS SAINT ELIZABETH MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF PULMONARY CRITICAL CARE
Authorized Official - Prefix:
Authorized Official - First Name:BARTOLOME
Authorized Official - Middle Name:
Authorized Official - Last Name:CELLI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:617-789-2545
Mailing Address - Street 1:38 DONIZETTI ST
Mailing Address - Street 2:
Mailing Address - City:WELLESLEY
Mailing Address - State:MA
Mailing Address - Zip Code:02482-4814
Mailing Address - Country:US
Mailing Address - Phone:781-431-4626
Mailing Address - Fax:
Practice Address - Street 1:736 CAMBRIDGE ST
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02135-2907
Practice Address - Country:US
Practice Address - Phone:617-789-2545
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-08
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA232558282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital