OrganizationBoston Medical CenterGeneral Acute Care HospitalHospitalsPractice Address72 E Concord St, Boston, MA 02118(617) 638-9004(857) 234-0032PECOS EnrollmentBased on the most recent information from CMS, provider Boston Medical Center 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 yesterday at 11:47 AM.Profile DetailsProvider ID1073749503Provider TypeOrganizationFull NameBoston Medical CenterSubpartNoEnumeration Date6/10/2009Last Updated1/28/2010Contact InformationPractice LocationPractice Address72 E Concord St, Boston, MA 02118Phone(617) 638-9004FaxUnlisted FaxMailing LocationMailing Address167 Beacon St Apt 4, Boston, MA 02116-1416Phone(857) 234-0032FaxUnlisted FaxAuthorized OfficialNameDefusco, Christina Marie (Nurse Practitioner)Phone(857) 234-0032Provider TaxonomiesCodeDescriptionLicenseCode282N00000XPrimaryDescriptionGeneral Acute Care HospitalHospitalsLicenseRN202587Massachusetts