OrganizationMassachusetts General HospitalGeneral Acute Care HospitalHospitalsPractice Address15 Parkman St, Mgh Wang Ambulatory Care Center, Boston, MA 02114-3117(617) 726-3023(781) 420-9608PECOS 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 ID1366561391Provider TypeOrganizationFull NameMassachusetts General HospitalSubpartNoEnumeration Date3/29/2007Last Updated8/22/2020Contact InformationPractice LocationPractice Address15 Parkman St, Mgh Wang Ambulatory Care Center, Boston, MA 02114-3117Phone(617) 726-3023FaxUnlisted FaxMailing LocationMailing Address40 Ibbetson St, Apt. 2, Somerville, MA 02143-2404Phone(781) 420-9608FaxUnlisted FaxAuthorized OfficialNameGillen, Colleen Theresa (Physical Therapist)Phone(617) 726-3023Provider TaxonomiesCodeDescriptionLicenseCode282N00000XPrimaryDescriptionGeneral Acute Care HospitalHospitalsLicense16398Massachusetts