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NPI Code Detail

MEDICARE: BIOCARDIA DIAGNOSTICS INC

MEDICARE: BIOCARDIA DIAGNOSTICS INC
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
1293D00000XPhysiological LaboratoryM245MA
2261QR0206XMammography Clinic/CenterM245MA
3261QR0200XRadiology Clinic/CenterM245MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1467423038
Entity Type Code : Organization
Provider Name (Legal Business Name) : BIOCARDIA DIAGNOSTICS INC
Provider Business Mailing Address
First Line : 1180 BEACON ST
Second Line : SUITE 7C
City : BROOKLINE
State : MA
Zip : 02446-3885
Country : US
Telephone Number : 617-232-0317
Fax Number : 617-739-0621
Provider Business Practice Location Address
First Line : 1180 BEACON ST
Second Line : SUITE 7C
City : BROOKLINE
State : MA
Zip : 02446-3885
Country : US
Telephone Number : 617-232-0317
Fax Number : 617-739-0621
Authorized Official
Title or Position : DIR. OPERATIONS/DEVEL
Name : AURIE BOND
Credential :
Telephone Number : 617-232-0317
Provider Enumeration Date : 01/31/2006
Last Update Date : 11/15/2012

Similar Medicare Providers

1912900473 — DR. RICHARD ALAN BRODIE M.D.
Practice Location Address:
1180 BEACON ST
BROOKLINE, MA
02446-3885
Practice Phone: 617-734-2433
Practice Fax: 617-566-6586
1730188319 — MARK R GLOSS M.D.
Practice Location Address:
1180 BEACON ST , STE 7B
BROOKLINE, MA
02446-3885
Practice Phone: 617-277-0939
Practice Fax: 617-277-7138
1205836673 — DR. JENNIFER E. GISTRAK PSY.D.
Practice Location Address:
1180 BEACON ST , SUITE 5C
BROOKLINE, MA
02446-3885
Practice Phone: 617-335-5244
Practice Fax:
1972593259 — DR. AUSTIN WERTHEIMER M.D.
Practice Location Address:
1180 BEACON ST , SUITE 7-A
BROOKLINE, MA
02446-3885
Practice Phone: 617-734-7600
Practice Fax:
1184602302 — DR. CYRUS KOMER MD
Practice Location Address:
1180 BEACON ST , SUITE 5A
BROOKLINE, MA
02446-3885
Practice Phone: 617-739-6300
Practice Fax: 617-734-8484
1144291741 — DR. KENNETH RICE MD
Practice Location Address:
1180 BEACON ST , SUITE 7C
BROOKLINE, MA
02446-3885
Practice Phone: 617-232-0317
Practice Fax: 617-739-0621

Directions to “BIOCARDIA DIAGNOSTICS INC ” Practice Location

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