1699739417 NPI number — GENZYME CORPORATION

Table of content: STEPHANIE SCHUMACHER (NPI 1053695494)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1699739417 NPI number — GENZYME CORPORATION

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
GENZYME CORPORATION
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
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:
1699739417
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/31/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3400 COMPUTER DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WESTBOROUGH
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
01581-1771
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
508-898-9001
Provider Business Mailing Address Fax Number:
508-389-1558

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
655 E HUNTINGTON DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MONROVIA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91016-3636
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
800-255-1616
Provider Business Practice Location Address Fax Number:
626-471-7510
Provider Enumeration Date:
04/17/2006

Additional Information

Authorized Official

Authorized Official Last Name:
HART
Authorized Official First Name:
JON
Authorized Official Middle Name:
L
Authorized Official Title or Position:
SENIOR VP AND GENERAL MANAGER
Authorized Official Telephone Number:
508-389-9448

Provider Taxonomy Codes

  • Taxonomy code: 291U00000X , with the licence number:  CLF3956 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: LAB42715G , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".




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