1669463246 NPI number — DR. LAIMA ZARINS MD

Table of content: DR. LAIMA ZARINS MD (NPI 1669463246)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1669463246 NPI number — DR. LAIMA ZARINS MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ZARINS
Provider First Name:
LAIMA
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1669463246
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/14/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
75 MOUNT AUBURN ST
Provider Second Line Business Mailing Address:
HARVARD UNIVERSITY HEALTH SERVICES
Provider Business Mailing Address City Name:
CAMBRIDGE
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
02138-4960
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
617-495-4414
Provider Business Mailing Address Fax Number:
617-495-8090

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1563 MASSACHUSETTS AVE
Provider Second Line Business Practice Location Address:
HARVARD UNIVERSITY HEALTH SERVICES
Provider Business Practice Location Address City Name:
CAMBRIDGE
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02138-2903
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
617-495-4414
Provider Business Practice Location Address Fax Number:
617-495-8090
Provider Enumeration Date:
11/02/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  224572 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 2110610 , issued by the state of ( MA ) . This identifiers is of the category "MEDICAID".
  • Identifier: J29528 . This is a "BLUE CROSS" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 478811 . This is a "TUFTS" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: AA47028 . This is a "HARVARD PILGRIM" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".




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