BRANDEIS UNIVERSITY NPI 1588025217

NPI Information

BRANDEIS UNIVERSITY is a student health clinic center in Waltham, MA. BRANDEIS UNIVERSITY NPI is 1588025217. The provider is registered as an organization entity type.

The provider's business location address is:

415 SOUTH ST # MS 034
WALTHAM, MA
ZIP 02453
Phone: (781) 736-3677
Fax: (781) 736-3675

The provider's authorized official is Samuel Solomon .
The authorized official title is Cfo and has the following contact phone number (781) 736-8539.

The CLIA number assigned to this NPI record is 22D0859158 - school/student health service with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/8/2016 and was last updated on 11/9/2020.

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:

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