Holmvang, Godtfred
Holmvang, Godtfred is an individual health care provider with primary practice located at 139 Main St Boston Heart Foundation, Cambridge MA 02142-1530. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Holmvang, Godtfred can be contacted via phone (617) 726-4150.Contact Information
Primary practice address
139 Main St Boston Heart Foundation
Cambridge MA 02142-1530
Phone: (617) 726-4150
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 60102 | Massachusetts |
Profile Details
| NPI number | 1922098474 |
|---|---|
| LBN Legal business name | Holmvang, Godtfred |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 26th, 2005 |
| Last updated | Jul 31st, 2012 - 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 | 1922098474 | NPPES |
| Massachusetts | Other | J09026 | BCBS MA |
| Massachusetts | Other | 060102 | BCBS MA |
| Massachusetts | MEDICAID | 3060900 | BCBS MA |
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