Mt Auburn Therapeutic Endoscopy

LBN: Mt Auburn Therapeutic Endoscopy
Mt Auburn Therapeutic Endoscopy is an health care organization with primary practice located at 300 Mount Auburn St Ste 405, Cambridge MA 02138-5600. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as the primary health care specialty. Mt Auburn Therapeutic Endoscopy can be contacted via phone (617) 661-0221, or through Ruymann, Frederick W via phone (617) 661-0221.

Contact Information

Primary practice address
300 Mount Auburn St Ste 405 Cambridge MA 02138-5600
Fax: (617) 661-3862
Website:
Authorized official contact:
Name: Ruymann, Frederick W Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 71422 Massachusetts

Profile Details

NPI number 1538232871
LBN Legal business name Mt Auburn Therapeutic Endoscopy
DBA Doing business as
Authorized official Ruymann, Frederick W Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 16th, 2006
Last updated Aug 22nd, 2020 - about 5 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 1538232871 NPPES
Massachusetts Other M17551 BLUE CROSS GROUP
Massachusetts MEDICAID 3052788 BLUE CROSS GROUP

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