# BOSTON IVF, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BOSTON IVF, INC.
- **Other names:** The Surgery Center of Waltham
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1497831523
- **Legal business name:** BOSTON IVF, INC.
- **Authorized official:** MR. DEREK M. LARKIN JD, MBA (DIRECTOR OF BUSINESS)
- **Authorized official phone:** (781) 434-6500

## Contact information

- **Practice address:** 130 2ND AVE, THE SURGERY CENTER OF WALTHAM, WALTHAM, MA 02451-1100
- **Practice address phone:** (781) 434-6400
- **Practice address fax:** (781) 434-6497
- **Mailing address:** 130 2ND AVE, THE SURGERY CENTER OF WALTHAM, WALTHAM, MA 02451-1100
- **Mailing address phone:** (781) 434-6400
- **Mailing address fax:** (781) 434-6497

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA0006X | Ambulatory Fertility Facility | 4QLZ | MA | — |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 4QLZ | MA | Yes |

## Other

- **Enumeration date:** 10/31/2006
- **Last updated:** 08/24/2009