Faculty Practice Foundation Inc Boston Univ Mallory Pathology Assoc
LBN: Boston University Mallory Pathology Associates, Inc.
Faculty Practice Foundation Inc Boston Univ Mallory Pathology Assoc is an health care organization with primary practice located at 670 Albany St Suite 304, Boston MA 02118. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as the primary health care specialty.
Boston University Mallory Pathology Associates, Inc. can be contacted via phone (617) 414-4291, or through Andry, Christopher D. via phone (617) 414-5292.
Contact Information
Primary practice address
670 Albany St Suite 304
Boston MA 02118
Phone: (617) 414-4291
Fax: (617) 414-5315
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X |
Profile Details
| NPI number | 1457308637 |
|---|---|
| LBN Legal business name | Boston University Mallory Pathology Associates, Inc. |
| DBA Doing business as | Faculty Practice Foundation Inc Boston Univ Mallory Pathology Assoc |
| Authorized official | Andry, Christopher D. MPHIL, PHD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 31st, 2006 |
| Last updated | Dec 20th, 2023 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457308637 | NPPES |
| Massachusetts | MEDICAID | 110071206B | |
| Massachusetts | MEDICAID | 3090107 |
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