Organization
BOSTON CARDIOVASCULAR ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERALD IZZI M.D. (PRESIDENT)
(617) 735-9200
Entity
Organization
Contact information
Practice address
125 PARKER HILL AVE, STE 500, ROXBURY CROSSING, MA 02120-2847
(617) 735-9200
(617) 735-9230
Mailing address
125 PARKER HILL AVE, STE 500, ROXBURY CROSSING, MA 02120-2847
(617) 735-9200
(617) 735-9230
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
690848
TUFTS
MA
05
—
9707727
—
MA
01
—
M17822
BXBS
MA
Enumeration date
10/19/2006
Last updated
12/23/2009
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