Organization
NEUROTECH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEEPAK S TANDON M.D. (OWNER)
(617) 731-0016
Entity
Organization
Contact information
Practice address
125 PARKER HILL AVE, SUITE 300, BOSTON, MA 02120-2847
(617) 731-0016
(617) 739-6866
Mailing address
125 PARKER HILL AVE, SUITE 300, BOSTON, MA 02120-2847
(617) 731-0016
(617) 739-6866
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
46565
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102375100
US DEPT OF LABOR
MA
01
—
11151
HPHC NUMBER
MA
01
—
130002181
TRAVELERS MEDICARE
MA
01
—
700883
TUFTS
MA
01
—
92688
AETNA US HEALTHACRE
MA
01
—
C18116
BCBS
MA
01
—
CM3196
RAILROAD MEDICARE
MA
01
—
VC6000170977
COMM OF MA
MA
Enumeration date
02/16/2007
Last updated
04/24/2014
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