National Provider Identifier Database

BOSTON IVF INC
Ambulatory Surgical


Contact Information

BOSTON IVF, INC.
130 2ND AVE
THE SURGERY CENTER OF WALTHAM
WALTHAM, MA02451-1100
Phone: 781-434-6400
Fax: 781-434-6497
Website:
Specialty Taxonomy Code
* Ambulatory Surgical 261QA1903X
Ambulatory Fertility Facility 261QA0006X

* Indicates primary specialty

NPI Profile & details for BOSTON IVF, INC.

NPI Number 1497831523
Legal business name
LBN
BOSTON IVF, INC.
Authorized official DEREK LARKIN - (DIRECTOR OF BUSINESS)
Entity Organization
Organization subpart Yes
Enumeration date 10/31/2006
Last updated 08/24/2009 - About 17 years ago
Sole proprietor1 Not specified
Identifiers
  • MA License #: 4QLZ
  • MA Medicaid: 1212524

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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