Organization
CARDONE REPRODUCTIVE MEDICINE & INFERTILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAIL K HENDRICKSON (COO/PRACTICE ADMINISTRATOR)
(781) 438-9600
Entity
Organization
Contact information
Practice address
2 MAIN ST, SUITE 150, STONEHAM, MA 02180-3335
(781) 438-9600
(781) 438-9601
Mailing address
2 MAIN ST, SUITE 150, STONEHAM, MA 02180-3335
(781) 438-9600
(781) 438-9601
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
Primary
56751
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13397
HARVARD PILGRIM HEALTHCARE
MA
01
—
1380826
AETNA
MA
01
—
25276
FALLON
MA
01
—
712663
TUFTS
MA
01
—
99155003
NETWORK HEALTH
MA
01
—
J06571
BC/BS
MA
01
—
M19275
BC/BS INDEMNITY
MA
01
—
M19813
BC/BS NEQCA
MA
Enumeration date
02/10/2010
Last updated
02/10/2010
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