Organization
REPROSOURCE FERTILITY DIAGNOSTICS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN LEADER MD, PHD (CHIEF EXECUTIVE OFFICER)
(800) 667-8893
Entity
Organization
Contact information
Practice address
300 TRADE CENTER, SUITE 6540, WOBURN, MA 01801
(800) 667-8893
(781) 935-3068
Mailing address
300 TRADE CENTER, SUITE 6540, WOBURN, MA 01801
(800) 667-8893
(781) 935-3068
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
2554
MA
Other
Enumeration date
06/26/2008
Last updated
09/22/2010
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