ALTHAUSEN MCGOVERN ASSOC INC NPI 1710020656

NPI Information

  • NPI: 1710020656
  • Provider Name: ALTHAUSEN MCGOVERN ASSOC INC
  • Classification: Urology - 208800000X
  • Entity Type: Organization
  • CLIA Number: 22D0074874
  • Address: 1 HAWTHORNE PL
    SUITE 109
    BOSTON, MA
    ZIP 02114
  • Phone: (617) 557-5422

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NPI Details

ALTHAUSEN MCGOVERN ASSOC INC is an urology in Boston, MA. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. ALTHAUSEN MCGOVERN ASSOC INC NPI is 1710020656. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1 HAWTHORNE PL
SUITE 109
BOSTON, MA
ZIP 02114-333
Phone: (617) 557-5422
Fax: (617) 523-8974

The provider's authorized official is Francis James Mcgovern .
The authorized official title is President and has the following contact phone number (617) 523-2394.

The CLIA number assigned to this NPI record is 22D0074874 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 2/14/2007 and was last updated on 8/29/2022.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208800000XUrology55277MASSACHUSETTSYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1340015721OTHERMASSACHUSETTSRR MEDICARE
2M16636OTHERMASSACHUSETTSMEDEX
39738037MEDICAIDMASSACHUSETTS
40004946OTHERMASSACHUSETTSNHP
5M16636OTHERMASSACHUSETTSBLUE CROSS
6616567OTHERMASSACHUSETTSTUFTS

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: 11/21/2025

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