Gbu Umass LLC

NPI #1598578064 in Dedham, Massachusetts

Provider Information

NPI Number: 1598578064
Entity Type: Organization
Organization Name: Gbu Umass LLC
Primary Specialty: Urology
Enumeration Date: Jan 29, 2025
Last Updated: Jan 29, 2025

Practice Location

Address: 910 WASHINGTON ST STE 200
City: Dedham
State: Massachusetts
ZIP Code: 02026-6033
Phone: (781) 762-0471

Authorized Official

Name: DENISE BONAVITA, CPB
Title: VICE PRESIDENT BUSINESS ADMIN
Phone: (781) 337-0201

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Radiology - Diagnostic Ultrasound — Diagnostic Ultrasound	2085U0001X
Nurse Practitioner	363L00000X
Urology	208800000X	Primary

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