Healthcare Provider Details
I. General information
NPI: 1841254661
Provider Name (Legal Business Name): GENZYME CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/17/2006
Last Update Date: 03/05/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5300 MCCONNELL AVE
LOS ANGELES CA
90066-7026
US
IV. Provider business mailing address
3400 COMPUTER DR
WESTBOROUGH MA
01581-1771
US
V. Phone/Fax
- Phone: 310-482-5000
- Fax: 310-482-5204
- Phone: 508-898-9001
- Fax: 508-389-5518
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QG0250X |
| Taxonomy | Genetics Clinic/Center |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 291U00000X |
| Taxonomy | Clinical Medical Laboratory |
| License Number | CLF 11065 |
| License Number State | CA |
VIII. Authorized Official
Name:
JON
L
HART
Title or Position: SENIOR VP AND GENERAL MANAGER
Credential:
Phone: 508-898-9001