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BOSTONIVF-CRMI HOLDING LLC NPI 1033462981


NPI Information

NPI: 1033462981
Provider Name: BOSTONIVF-CRMI HOLDING, LLC
Classification: Obstetrics & Gynecology - 207VE0102X
Entity Type: Organization

Specialization: Reproductive Endocrinology

CLIA Number: 22D0716939

Address:
2 MAIN ST
STE 150
STONEHAM, MA
ZIP 02180
Phone: (781) 438-9600
Get Directions

BOSTONIVF-CRMI HOLDING, LLC is a reproductive endocrinology obstetrics gynecology in Stoneham, MA. The provider is an obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility. BOSTONIVF-CRMI HOLDING, LLC NPI is 1033462981. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2 MAIN ST
STE 150
STONEHAM, MA
ZIP 02180-335
Phone: (781) 438-9600
Fax: (781) 438-9601

The provider's authorized official is Gail K Hendrickson .
The authorized official title is Practice Administrator and has the following contact phone number (781) 438-9600.

The CLIA number assigned to this NPI record is 22D0716939 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 10/16/2012 and was last updated on 10/25/2012.


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
1207VG0400XObstetrics & GynecologyGynecologyNo
2207VE0102XObstetrics & GynecologyReproductive EndocrinologyYes

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
1712663OTHERMASSACHUSETTSTUFTS HEALTH PLAN
2J06571OTHERMASSACHUSETTSBCBSMA
31285707356OTHERMASSACHUSETTSFALLON
413397OTHERMASSACHUSETTSHPHC
51380826OTHERMASSACHUSETTSAETNA
6M19275OTHERMASSACHUSETTSBCBS INDEMNITY
799155003OTHERMASSACHUSETTSNETWORK HEALTH

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.