Reservoir Medical Associates, P.C.

LBN: Reservoir Medical Associates, P.C.
Reservoir Medical Associates, P.C. is an health care organization with primary practice located at 725 Concord Ave Suite 2000, Cambridge MA 02138-1040. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Reservoir Medical Associates, P.C. can be contacted via phone (617) 661-4600, or through Shapiro, Debra via phone (617) 661-4600.

Contact Information

Primary practice address
725 Concord Ave Suite 2000 Cambridge MA 02138-1040
Fax: (617) 547-9170
Website:
Authorized official contact:
Name: Shapiro, Debra Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 57930 Massachusetts

Profile Details

NPI number 1356399562
LBN Legal business name Reservoir Medical Associates, P.C.
DBA Doing business as
Authorized official Shapiro, Debra Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 4th, 2006
Last updated Jan 11th, 2013 - about 11 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 1356399562 NPPES
Massachusetts MEDICAID 9776036
Massachusetts Other 609088
Massachusetts Other M16171

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