Organization
BOSTON REPRODUCTIVE MEDICINE PHYSICIAN GROUP PPLC
Active
Other names
CCRM Boston
Organization subpart
No
Provider details
NPI number
Authorized official
ALISON E ZIMON (CO-MEDICAL DIRECTOR)
(617) 499-9750
Entity
Organization
Contact information
Practice address
300 BOYLSTON ST STE 300, CHESTNUT HILL, MA 02467-1976
(617) 449-9750
Mailing address
300 BOYLSTON ST STE 300, CHESTNUT HILL, MA 02467-1976
(617) 449-9750
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22D2125498
CLIA
—
Enumeration date
02/26/2020
Last updated
02/26/2020
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