MEDICARE: AYKUT BILGE M.D. PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician	213669	MA

General Provider Information

NPI Number	:	1386608651
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AYKUT BILGE M.D. PH.D.

Provider Business Mailing Address
First Line	:	300 LONGWOOD AVE
Second Line	:	BADER 376
City	:	BOSTON
State	:	MA
Zip	:	02115-5737
Country	:	US
Telephone Number	:	617-355-6457
Fax Number	:	617-730-0892

Provider Business Practice Location Address
First Line	:	300 LONGWOOD AVE
Second Line	:	BADER 376
City	:	BOSTON
State	:	MA
Zip	:	02115-5737
Country	:	US
Telephone Number	:	617-355-6457
Fax Number	:	617-730-0892

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/13/2006
Last Update Date	:	05/21/2009

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