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BOSTON IVF INC. NPI 1326122839


NPI Information

NPI: 1326122839
Provider Name: BOSTON IVF, INC.
Classification: Obstetrics & Gynecology - 207VE0102X
Entity Type: Organization

Specialization: Reproductive Endocrinology

CLIA Number: 22D2299393

Address:
130 2ND AVE
BOSTON IVF, INC.
WALTHAM, MA
ZIP 02451
Phone: (781) 434-6500
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BOSTON IVF, INC. is a reproductive endocrinology obstetrics gynecology in Waltham, MA. The provider is an obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility. BOSTON IVF, INC. NPI is 1326122839. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

130 2ND AVE
BOSTON IVF, INC.
WALTHAM, MA
ZIP 02451-100
Phone: (781) 434-6500
Fax: (781) 434-6501

The provider's authorized official is Derek M. Larkin .
The authorized official title is Director Of Business and has the following contact phone number (781) 434-6500.

The CLIA number assigned to this NPI record is 22D2299393 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/24/2006 and was last updated on 8/24/2009.


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
1207V00000XObstetrics & GynecologyMASSACHUSETTSNo
2207VE0102XObstetrics & GynecologyReproductive EndocrinologyMASSACHUSETTSYes

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
1M15198MEDICARE PINMASSACHUSETTS

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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