Organization
CAMBRIDGE HOSP PROF SER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS RUTH D'AGOSTINO (CEO BILLING)
(781) 933-3734
Entity
Organization
Contact information
Practice address
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139-1047
(781) 933-3734
(781) 932-3278
Mailing address
110 WINN ST, SUITE 105, WOBURN, MA 01801-2897
(781) 933-3734
(781) 932-3278
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
610101
TUFTS ASSOCIATED HEALTH
MA
05
—
9773622
—
MA
01
—
HH57
HARVARD PILGRIM HEALTH
MA
01
—
M15989
BLUE CROSS BLUE SHIELD
MA
Enumeration date
04/23/2007
Last updated
08/22/2020
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