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HM02114 MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION (Active)
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Main Details
Name
MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION
Subdivision Name
MASSACHUSETTS GENERAL COMPREHENSIVE HEMOPHILIA AND THROMBOSIS TREATMENT CENTER
Type
Comprehensive Hemophilia Treatment Center
340B ID
HM02114
Grant Number
H30MC24048
Additional Details
Current Program Status
Active
Registration Date
9/22/2011
Participating Start Date
10/1/2011
Participating Approval Date
9/30/2011
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
Massachusetts General Physicians Organization
Mario DiBenedetto, Executive Director of Finance
(857) 282-7036
Primary Contact
MGH Comprehensive Hemophilia Treatment Center
Eric F Grabowski, Director
(617) 726-2737
Addresses
Street Address
55 FRUIT STREET
BOSTON, MA 02114
Billing Address
Mass General Brigham - MGPO
Accounts Payable
399 Revolution Drive, Suite 327
Somerville, MA 02145
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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