| Organization Name: | BOSTONIVF-CRMI HOLDING, LLC |
| NPI Number: | 1033462981 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GAIL K HENDRICKSON (PRACTICE ADMINISTRATOR) |
| Mailing Address: | 2 Main St Ste 150 Stoneham |
| State: | MA US |
| Postal Code: | 021803335 |
| Phone Number: | 7814389600 |
| Fax Number: | 7814389601 |
| NPI Enumeration Date: | 10/16/2012 |
| NPI Last Update Date: | 10/25/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207VG0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | Gynecology |
| Taxonomy Definition: | |