Behlau, Irmgard
Behlau, Irmgard is an individual health care provider with primary practice located at 1380 Soldiers Field Road, 2Nd Floor Maggie Custodio Mount Auburn Cambridge Independent Practice Association, Brighton MA 02135. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Infectious Disease is her primary health care specialty. Behlau, Irmgard can be contacted via phone (617) 783-7200.Contact Information
Primary practice address
1380 Soldiers Field Road, 2Nd Floor Maggie Custodio Mount Auburn Cambridge Independent Practice Association
Brighton MA 02135
Phone: (617) 783-7200
Fax: (617) 787-1760
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 75971 | Massachusetts |
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 75971 | Massachusetts |
Profile Details
| NPI number | 1942313531 |
|---|---|
| LBN Legal business name | Behlau, Irmgard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 16th, 2006 |
| Last updated | Jan 6th, 2011 - about 13 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 | 1942313531 | NPPES |
| Massachusetts | Other | J19423 | BCBS MA |
| Massachusetts | Other | 792606 | BCBS MA |
| Massachusetts | MEDICAID | 3185834 | BCBS MA |
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