Unknown Individual – Hematology & Oncology Physician, NPI 1174518815

Unknown Individual is a healthcare provider. based in Brookline, Massachusetts. specializing in Hematology & Oncology Physician. They hold a License No. 26769 (MA). The NPI Number for Unknown Individual is 1174518815

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1174518815
Phone
(617) 731-6620
Address
40 NEWTON ST
Deactivation Date
5 February 2026
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

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Provider Addresses for Unknown Individual

  • 40, Newton Street, Buttonwood Village, South Brookline, Brookline, Norfolk County, Massachusetts, 02245, United States

    BROOKLINE, MA 024457407

    Phone: (617) 731-6620

    Fax: (617) 731-6621

    Type: Mailing

  • 125, Nashua Street, West End, Boston, Suffolk County, Massachusetts, 02222, United States

    BOSTON, MA 021141101

    Phone: (617) 573-2618

    Fax: (617) 731-6620

    Type: Location

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

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

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

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

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

Insurance plans in this area (ZIP 02445)

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Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1174518815 when you need to reference Unknown Individual in forms, claims, or directories.
How do I interpret inactive records for Unknown Individual?
Treat inactive as a signal to verify Unknown Individual through official channels.
What field does Unknown Individual work in?
You can think of Unknown Individual as practicing within Hematology & Oncology Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Brookline, Massachusetts for Unknown Individual; expand the address list for detail.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1174518815. Always confirm identity and privileges with the practice and licensing boards.

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