Edyta M Konrad Md, Phd

LBN: Edyta M Konrad Md, Phd
Edyta M Konrad Md, Phd is an health care organization with primary practice located at 320 Bolton St Ofiice # 100, Marlborough MA 01752-3988. The organization recently has 3 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutrition, Education, Allopathic & Osteopathic Physicians / Internal Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Edyta M Konrad Md, Phd can be contacted via phone (508) 460-6002, or through Konrad, Edyta Maria via phone (508) 460-6002.

Contact Information

Primary practice address
320 Bolton St Ofiice # 100 Marlborough MA 01752-3988
Phone: (508) 460-6002
Fax: (508) 460-6028
Website:
Map and Directions
Authorized official contact:
Name: Konrad, Edyta Maria MD, PHD
Phone: (508) 460-6002

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Education 133NN1002X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 157585 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1417401993
LBN Legal business name Edyta M Konrad Md, Phd
DBA Doing business as
Authorized official Konrad, Edyta Maria MD, PHD
Entity Organization
Organization subpart 1 No
Enumeration date Aug 12th, 2016
Last updated Aug 12th, 2016 - about 8 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 1417401993 NPPES
Massachusetts MEDICAID 110037908A

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