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NPI Code Detail

MEDICARE: DR. NARASIMHAN NAGAN PH.D., FACMG

MEDICARE: DR. NARASIMHAN NAGAN PH.D., FACMG
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
1207SG0203XClinical Molecular Genetics Physician2005113MA

General Provider Information

NPI Number : 1952594889
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NARASIMHAN NAGAN PH.D., FACMG
Provider Business Mailing Address
First Line : 3400 COMPUTER DR
Second Line : GENZYME GENETICS MOLECULAR DIAGNOSTICS LABORATORY
City : WESTBOROUGH
State : MA
Zip : 01581-1771
Country : US
Telephone Number : 508-389-8351
Fax Number : 508-389-5548
Provider Business Practice Location Address
First Line : 3400 COMPUTER DR
Second Line : GENZYME GENETICS MOLECULAR DIAGNOSTICS LABORATORY
City : WESTBOROUGH
State : MA
Zip : 01581-1771
Country : US
Telephone Number : 508-389-8351
Fax Number : 508-389-5548
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2007
Last Update Date : 08/23/2007

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