Organization · Type 2 NPI

CHMC Otolaryngologic Foundation, Inc

Otolaryngology Physician · Boston, MA

NPI number 1124118229 Active

Practice location

300 Longwood Ave
Boston, MA 02115-5724

Call (617) 355-6460 Map

Fax (617) 730-0611

Mailing address

PO Box 4162
Woburn, MA 01888-4162

Specialties and licenses

Taxonomy	Code	License
Clinical Psychologist	103TC0700X	None listed
Otolaryngology Physician Primary	207Y00000X	None listed
Pediatric Otolaryngology Physician	207YP0228X	None listed
Audiologist	231H00000X	None listed
Speech-Language Pathologist	235Z00000X	None listed
Surgical Physician Assistant	363AS0400X	None listed

Otolaryngology Physician: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injurie…

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About NPI 1124118229

CHMC Otolaryngologic Foundation, Inc's National Provider Identifier is 1124118229, issued on Oct 13, 2006. The primary taxonomy on file is Otolaryngology Physician (207Y00000X), and the practice location is in Boston, MA. The record was last updated on Dec 11, 2025.