OrganizationMassachusetts General HospitalGeneral Acute Care HospitalHospitalsPractice Address55 Fruit St, Yawkey Building Suite 7b, Boston, MA 02114-2621(617) 643-2013(617) 731-9745PECOS EnrollmentBased on the most recent information from CMS, provider Massachusetts General Hospital does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 15 days ago.Profile DetailsProvider ID1225232366Provider TypeOrganizationFull NameMassachusetts General HospitalSubpartNoEnumeration Date6/13/2007Last Updated8/22/2020Contact InformationPractice LocationPractice Address55 Fruit St, Yawkey Building Suite 7b, Boston, MA 02114-2621Phone(617) 643-2013FaxUnlisted FaxMailing LocationMailing Address122 Riverway, Apt. 2, Boston, MA 02215-4117Phone(617) 731-9745FaxUnlisted FaxAuthorized OfficialNameHenderson, Judianne Urmaza (Oncology Nurse Practitioner)Phone(617) 643-2013Provider TaxonomiesCodeDescriptionLicenseCode282N00000XPrimaryDescriptionGeneral Acute Care HospitalHospitalsLicenseUnlisted IssuerMassachusetts