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Contact Information

GBU UMASS LLC
910 WASHINGTON ST STE 200
DEDHAM, MA02026-6033
 Phone: 781-762-0471
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Urology

208800000X 34 Physician/Urology
 

Diagnostic Ultrasound

2085U0001X
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for GBU UMASS LLC

NPI # 1598578064
LBN Legal business name GBU UMASS LLC
Authorized official DENISE BONAVITA - (VICE PRESIDENT BUSINESS ADMIN)
Entity Organization
Organization subpart 1 No
Enumeration date 01/29/2025
Last updated 01/29/2025 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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