Organization Name: | BELMONT CAMBRIDGE HEALTH CARE |
NPI Number: | 1003039041 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GOPAL KRISHNA GUPTA (DIRECTOR) |
Mailing Address: | 24 Stony Brook Rd Belmont |
State: | MA US |
Postal Code: | 024781724 |
Phone Number: | 6174840929 |
Fax Number: | 6174840929 |
NPI Enumeration Date: | 04/10/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207SG0201X |
License Number: | 152950 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | MA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Medical Genetics |
Taxonomy Specialization: | Clinical Genetics (M.D.) |
Taxonomy Definition: | A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders. |