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1699830778 NPI number — MASSACHUSETTS NEURO INTERVENTION P.C.

NPI Number: 1699830778
Health Care Provider/Practitioner: MASSACHUSETTS NEURO INTERVENTION P.C.

Information about “1699830778” NPI (MASSACHUSETTS NEURO INTERVENTION P.C.) exists in 1699830778 in HTML format HTML  |  1699830778 in plain Text format TXT  |  1699830778 in PDF (Portable Document Format) PDF  |  1699830778 in an XML format XML  formats.

NPI Number : 1699830778 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1699830778",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "MASSACHUSETTS NEURO INTERVENTION P.C.",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "359 KENT ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BROOKLINE",
    "MailingAddressStateName": "MA",
    "MailingAddressPostalCode": "02446-5443",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "617-734-2800",
    "MailingAddressFaxNumber": "617-734-3900",
    "FirstLinePracticeLocationAddress": "359 KENT ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BROOKLINE",
    "PracticeLocationAddressStateName": "MA",
    "PracticeLocationAddressPostalCode": "02446-5443",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "617-734-2800",
    "PracticeLocationAddressFaxNumber": "617-734-3900",
    "EnumerationDate": "12/27/2006",
    "LastUpdateDate": "04/16/2012",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "CHAVALI",
    "AuthorizedOfficialFirstName": "RAM",
    "AuthorizedOfficialMiddleName": "V.S.R.",
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "M.D.",
    "AuthorizedOfficialTelephoneNumber": "617-734-2800",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "174400000X",
        "TaxonomyName": "Specialist",
        "LicenseNumber": "77985",
        "LicenseNumberStateCode": "MA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
      }
    }
  }
}
                
            

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