Chmc Otolaryngologic Foundation, Inc

LBN: Chmc Otolaryngologic Foundation, Inc
Chmc Otolaryngologic Foundation, Inc is an health care organization with primary practice located at 300 Longwood Ave Lo 367, Boston MA 02115-5724. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Pediatric Otolaryngology, Speech, Language and Hearing Service Providers / Audiologist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Allopathic & Osteopathic Physicians / Otolaryngology is the primary health care specialty. Chmc Otolaryngologic Foundation, Inc can be contacted via phone (617) 355-6460, or through Dean, Norman via phone (617) 355-6463.

Contact Information

Primary practice address
300 Longwood Ave Lo 367 Boston MA 02115-5724
Phone: (617) 355-6460
Fax: (617) 730-0611
Website:
Map and Directions
Authorized official contact:
Name: Dean, Norman
Phone: (617) 355-6463

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X
Allopathic & Osteopathic Physicians / Pediatric Otolaryngology 207YP0228X
Speech, Language and Hearing Service Providers / Audiologist 231H00000X
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X

Profile Details

NPI number 1124118229
LBN Legal business name Chmc Otolaryngologic Foundation, Inc
DBA Doing business as
Authorized official Dean, Norman
Entity Organization
Organization subpart 1 No
Enumeration date Oct 13th, 2006
Last updated Sep 27th, 2012 - about 12 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124118229 NPPES
Massachusetts Other 110028764B MEDICAID PID
Massachusetts MEDICAID 9723153 MEDICAID PID

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