Unknown Individual – Radiation Oncology Physician, NPI 1104883891

Unknown Individual is a healthcare provider. based in Boston, Massachusetts. specializing in Radiation Oncology Physician. They hold a License No. 52964 (MA). The NPI Number for Unknown Individual is 1104883891

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1104883891
Phone
(617) 732-6310
Address
75 FRANCIS STREET ASBL L2
Deactivation Date
16 September 2021
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 75 FRANCIS STREET ASBL L2

    BRIGHAM AND WOMENS HOSPITAL RADIATION ONCOLOGY

    BOSTON, MA 02115

    Phone: (617) 732-6310

    Type: Location

  • Cypress Street, Brookline, Norfolk County, Massachusetts, 02445, United States

    BROOKLINE, MA 024456002

    Phone: (857) 307-0896

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02115)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for Unknown Individual?
Unknown Individual — NPI 1104883891 — is the standard way to identify this listing.
What dates should I check for Unknown Individual's activity?
We display what the registry publishes: Unknown Individual appears inactive there.
What is Unknown Individual's specialty?
The listing groups Unknown Individual with Radiation Oncology Physician. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual based?
Unknown Individual is tied to Boston, Massachusetts in the data we show; additional addresses may exist on the full record.
Why does Unknown Individual have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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