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BELMONT CAMBRIDGE HEALTH CARE NPI 1003039041


NPI Information

NPI: 1003039041
Provider Name: BELMONT CAMBRIDGE HEALTH CARE
Classification: Medical Genetics - 207SG0201X
Entity Type: Organization

Specialization: Clinical Genetics (M.D.)

CLIA Number: 22D2066462

Address:
24 STONY BROOK RD
BELMONT, MA
ZIP 02478
Phone: (617) 484-0929
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BELMONT CAMBRIDGE HEALTH CARE is a clinical genetics (m.d.) medical genetics in Belmont, MA. The provider is a clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders. BELMONT CAMBRIDGE HEALTH CARE NPI is 1003039041. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

24 STONY BROOK RD
BELMONT, MA
ZIP 02478-724
Phone: (617) 484-0929
Fax: (617) 484-0929

The provider's authorized official is Gopal Krishna Gupta .
The authorized official title is Director and has the following contact phone number (617) 491-5111.

The CLIA number assigned to this NPI record is 22D2066462 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/10/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207SG0201XMedical GeneticsClinical Genetics (M.D.)152950MASSACHUSETTSYes
2208000000XPediatrics152950MASSACHUSETTSX
32080N0001XPediatricsNeonatal-Perinatal Medicine152950MASSACHUSETTSX

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13203395MEDICAIDMASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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