Mwhlpho

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

60673 Issued in MA

Legal business name

MWHLPHO

Practice address

13 Bradlee Road
Medford, MA 02155

Phone

(781) 395-1110

Fax

(781) 395-8553

NPI assigned

Sep 5, 2018

Last updated

Dec 27, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tricia Brisbois

Title

Manager

Phone

(978) 764-8628

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1536105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640563200000",
    "number": "1447732573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 BRADLEE ROAD",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "02155",
            "telephone_number": "781-395-1110",
            "fax_number": "781-395-8553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 BRADLEE ROAD",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "02155",
            "telephone_number": "781-395-1110",
            "fax_number": "781-395-8553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MWHLPHO",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-05",
        "last_updated": "2021-12-27",
        "certification_date": "2021-12-27",
        "status": "A",
        "authorized_official_last_name": "BRISBOIS",
        "authorized_official_first_name": "TRICIA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "978-764-8628"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MA",
            "license": "60673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Obstetrics & Gynecology Physician in Medford, MA
• Providers in Medford, MA by specialty
• Obstetrics & Gynecology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.