Bailen, Laurence Scott
Bailen, Laurence Scott is an individual health care provider with primary practice located at 2000 Washington St Green Building, Suite 368, Newton MA 02462-1650. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gastroenterology, Allopathic & Osteopathic Physicians / Hepatology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Bailen, Laurence Scott can be contacted via phone (617) 969-1227.Contact Information
Primary practice address
2000 Washington St Green Building, Suite 368
Newton MA 02462-1650
Phone: (617) 969-1227
Fax: (617) 969-2676
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 81467 | Massachusetts |
Allopathic & Osteopathic Physicians / Hepatology | 207RI0008X | 81467 | Massachusetts |
Profile Details
NPI number | 1922078930 |
---|---|
LBN Legal business name | Bailen, Laurence Scott |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 23rd, 2006 |
Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1922078930 | NPPES |
Massachusetts | MEDICAID | 3192563 |
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