Organization
BOSTONIVF-CRMI HOLDING, LLC
Active
Organization
BOSTONIVF-CRMI HOLDING, LLC
Active
Parent organization
BOSTON IVF
Organization subpart
Yes
Provider details
NPI number
Legal business name
BOSTON IVF
Authorized official
GAIL K HENDRICKSON (PRACTICE ADMINISTRATOR)
(781) 438-9600
Entity
Organization
Contact information
Practice address
2 MAIN ST, STE 150, STONEHAM, MA 02180-3335
(781) 438-9600
(781) 438-9601
Mailing address
130 SECOND AVE, WALTHAM, MA 02451-1100
(781) 434-6500
(781) 890-8060
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
Primary
—
—
207VG0400X
Gynecology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1285707356
FALLON
MA
01
—
13397
HPHC
MA
01
—
1380826
AETNA
MA
01
—
712663
TUFTS HEALTH PLAN
MA
01
—
99155003
NETWORK HEALTH
MA
01
—
J06571
BCBSMA
MA
01
—
M19275
BCBS INDEMNITY
MA
Enumeration date
10/16/2012
Last updated
10/25/2012
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up