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General NPI Number Information
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NPI Number | 1952376519
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Entity Type | Individual
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Provider Name | LAURENCE J. SLOSS MD
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Gender | Male
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Dates
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Enumeration Date | 02/17/2006
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Last Update Date | 02/25/2011
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Provider Practice Location Address
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Address Line | 1101 BEACON ST SUITE 703W
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City | BROOKLINE
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State | MA
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Zip | 02446-5539
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Country | US
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Telephone | 617-738-6878
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Fax | 617-730-9915
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Provider Business Mailing Address
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Address Line | 1101 BEACON ST SUITE 703W
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City | BROOKLINE
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State | MA
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Zip | 02446-5587
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Country | US
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Telephone | 617-738-6878
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Fax | 617-730-9915
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 36075
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 36075
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 2080P0202X
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Taxonomy Name | Pediatric Cardiology Physician
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License Number | 36075
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License Number State | MA
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