National Provider Identifier Database

UMASS MEMORIAL MEDICAL GROUP INC
Ambulatory Fertility Facility

A fertility facility, which may be licensed, registered, or certified in some states, that is not hospital-based, where services are provided at a fixed specific location. An Ambulatory Fertility Facility does not provide overnight accommodations. The following fertility procedures may be performed at an Ambulatory Fertility Facility: In Vitro Fertilization (IVF), Gamete Intrafallopian Transfer (GIFT), Embryo Transfer-Thaw (ET-T), Zygote Intrafallopian Transfer (ZIFT), Donor OOCYTE (DO)


Contact Information

UMASS MEMORIAL MEDICAL GROUP, INC.
33 KENDALL STREET
LEVINE 2
WORCESTER, MA01605-2726
Phone: 508-334-6910
Fax:
Website:
Specialty Taxonomy Code
* Ambulatory Fertility Facility 261QA0006X

* Indicates primary specialty

NPI Profile & details for UMASS MEMORIAL MEDICAL GROUP, INC.

NPI Number 1861038754
Legal business name
LBN
UMASS MEMORIAL MEDICAL GROUP, INC.
Authorized official DEBRA WOOLDRIDGE - (SUPERVISOR, PROVIDER ENROLLMENT)
Entity Organization
Organization subpart Yes
Enumeration date 11/26/2019
Last updated 11/26/2019 - About 7 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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