is a Otology & Neurotology in Cambridge, Massachusetts. practices all healthcare services and medical treatments related to Otology & Neurotology. The NPI Number for is 1164534343. The last update date is .
's current location address is 1493 Cambridge St, Cambridge, Massachusetts. You can contact this provider via phone number 6176652555. The mailing address for is 1493 Cambridge St, Cambridge, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 1493 Cambridge St, Cambridge, Massachusetts |
| Phone Number | 6176652555 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1164534343 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 1493 Cambridge St |
|---|---|
| City | Cambridge |
| State | Massachusetts (MA) |
| Post Code | 21391047 |
| Phone Number | 6176652555 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Otology & Neurotology |
|---|---|
| Taxonomy | 207Yx0901X |
| Licence No | MD450439 |
|
Definition: An otolaryngologist who treats diseases of the ear and temporal bone, including disorders of hearing and balance. The additional training in otology and neurotology emphasizes the study of embryology, anatomy, physiology, epidemiology, pathophysiolog |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8150376 | CIGNA | ||
| 3011586 | HIGHMARK | ||
| PO1258059 | RAILROAD MEDICARE | ||
| 421692 | UPMC HEALTH PLAN | ||
| 7395417 | AETNA |
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