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
Phone: (617) 661-4600
Fax: (617) 547-9170
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1356399562 | NPPES |
Massachusetts | MEDICAID | 9776036 | |
Massachusetts | Other | 609088 | |
Massachusetts | Other | M16171 |
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