Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Ambulatory Surgical |
261QA1903X | 49 | Ambulatory Surgical Center | |
Ambulatory Fertility Facility |
261QA0006X |
| NPI # | 1497831523 |
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| LBN Legal business name | BOSTON IVF, INC. | ||||||||
| Authorized official | DEREK LARKIN - (DIRECTOR OF BUSINESS) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | Yes | ||||||||
| Enumeration date | 10/31/2006 | ||||||||
| Last updated | 08/24/2009 - About 17 years ago | ||||||||
| Identifiers |
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